NPI | 1821555020 |
---|---|
Doing Business As | SCDP ANESTHESIA PROFESSIONALS |
Entity Type | Organization |
Authorized Contact | DEVIN LARSEN CEO 208-340-1840 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
367H00000X Anesthesiologist Assistant | |
Enumeration Date | 2019-02-23 |
Last Update Date | 2024-05-30 |