| NPI | 1851756068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KREGER Manager 205-999-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2021-10-01 |