Individual
MR. DAVID A BRENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 947-3161
(601) 947-9206
Mailing address
PO BOX 607, LUCEDALE, MS 39452-0607
(601) 947-3161
(601) 947-9206
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R889843
MS
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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