| NPI | 1891979258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CARVER Business Manager 307-789-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |