| NPI | 1922520725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD JOHNSON Partner 812-345-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-09-07 |