Individual
DALE STOGNER
Active
Individual
DALE STOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201603005RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
201603006CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
AP07173
LA
Other
Enumeration date
01/28/2013
Last updated
01/14/2021
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