Individual
DAVID VINCENT DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(505) 841-1956
Mailing address
1720 LOUISIANA BLVD NE, SUITE #401, ALBUQUERQUE, NM 87110-7022
(505) 260-4300
(505) 260-4371
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
TL-00290
NM
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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