| NPI | 1942302617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAWRENCE RYAN Owner Practice Manager 662-349-9136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R691259) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-04-20 |