NPI | 1881005783 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL R NOBCK Medical Director 888-337-3509 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2014-05-13 |
Last Update Date | 2014-05-13 |