| NPI | 1932141561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D SANDER President 618-257-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-11-09 |