| NPI | 1982811071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON EDGAR WUEBBOLT President 814-726-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN226502L) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |