| NPI | 1932397544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BERGMAN C.F.O. 937-641-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2018-06-19 |