| NPI | 1962926568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KREGER Manager 205-999-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2021-10-01 |