| NPI | 1982914370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY L. HANEY Managing Member 303-367-2225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 11717821) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2013-06-19 |