Individual
MR. DMITRIY ANATOLIY SHANTUROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 LUXOR LN APT 109, NORRISTOWN, PA 19401-5110
(315) 481-9503
Mailing address
900 LUXOR LN APT 109, NORRISTOWN, PA 19401-5110
(315) 481-9503
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
685853
NY
Other
Enumeration date
07/20/2019
Last updated
07/20/2019
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