Individual
FREDERICK DIMMEL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6350
(816) 271-6753
Mailing address
PO BOX 410245, KANSAS CITY, MO 64141-0245
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2007020499
MO
Other
Enumeration date
11/16/2010
Last updated
02/22/2012
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