| NPI | 1902319882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALLEN MOORE Certified Reg. Nurse Anesthetist 720-318-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0990803-CRNA) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2021-08-22 |