Ivy Creek of Elmore, LLC
NPI #1144547712 in Wetumpka, Alabama
Provider Information
- NPI Number
- 1144547712
- Entity Type
- Organization
- Organization Name
- Ivy Creek of Elmore, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IVY CREEK OF ELMORE, LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Apr 22, 2010
- Last Updated
- Jan 27, 2012
Practice Location
Authorized Official
- Name
- MICHAEL D BRUCE
- Title
- CEO
- Phone
- (334) 567-4311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
| Nurse Anesthetist, Certified Registered |
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