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Individual

WALTER DROGOSZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FT DEFIANCE PHS HOSPITAL, FT DEFIANCE, AZ 86504
(928) 729-8749
Mailing address
PO BOX 775397, STEAMBOAT SPRINGS, CO 80477-5397
(970) 879-3140

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
427254
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00075595
NM
05
498213
AZ
Enumeration date
11/29/2006
Last updated
07/08/2007
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