Individual
DAVID EDWARD DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6284
(505) 863-7055
Mailing address
1397 WEIMER RD, TAOS, NM 87571-6284
(505) 863-7055
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
37425
NM
Other
Enumeration date
05/04/2006
Last updated
12/12/2013
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