| NPI | 1912930918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HURD PICILLO President/Owner 801-557-3421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 174761) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-05-10 |