| NPI | 1871916544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J MEIER Billing Manager 307-674-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 23492.0828) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-06-03 |