Individual
DUANE D GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
156 CORLISS AVE, SUITE 107, JOHNSON CITY, NY 13790-2060
(607) 763-6735
(607) 763-6736
Mailing address
156 CORLISS AVE, SUITE 107, JOHNSON CITY, NY 13790-2060
(607) 763-6735
(607) 763-6736
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704146723
MI
Other
Enumeration date
05/19/2006
Last updated
07/09/2007
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