Individual
BRYAN J DIMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-4194
Mailing address
2128 ALPINE PL APT 5, CINCINNATI, OH 45206-2669
(937) 361-3401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019632
OH
367500000X
Certified Registered Nurse Anesthetist
LE-00022018
OH
Other
Enumeration date
01/22/2018
Last updated
01/25/2018
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