NPI | 1902135767 |
---|---|
Entity Type | Organization |
Authorized Contact | TED GROSBECK Manager 469-916-0521 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
Enumeration Date | 2009-12-08 |
Last Update Date | 2016-06-06 |