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Individual

MR. ANDREW DISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
179 SPRUNT ST, CHAPEL HILL, NC 27517-7810
(919) 966-5136
Mailing address
179 SPRUNT ST, CHAPEL HILL, NC 27517-7810
(919) 302-7754

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102585
NC

Other

Enumeration date
05/18/2014
Last updated
05/18/2014
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