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Individual

ROBERT DIGELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2420 LAKE AVE, ASHTABULA, OH 44004-4954
(440) 997-2262
Mailing address
PO BOX 74751, CLEVELAND, OH 44194-0834
(440) 997-2262

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3777A
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.08797-NA
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2933124
OH
05
74005901
KY
Enumeration date
08/29/2006
Last updated
12/13/2021
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