Individual
RICHARD D. DEINDOERFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
82 PATTON AVE, SUITE 510, ASHEVILLE, NC 28801-3319
(828) 398-5222
(828) 398-5223
Mailing address
82 PATTON AVE, SUITE 510, ASHEVILLE, NC 28801-3319
(828) 398-5222
(828) 398-5223
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9103
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095409
BLUE CROSS BLUE SHIELD
TN
05
—
3600382
—
TN
Enumeration date
02/21/2007
Last updated
02/28/2017
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