Individual
MR. REX LAWRENCE DILLEHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1828 CHIANTI CT, PUEBLO, CO 81001-9700
(806) 341-2545
Mailing address
1828 CHIANTI CT, PUEBLO, CO 81001-9700
(806) 341-2545
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
229360
TX
Other
Enumeration date
07/03/2006
Last updated
12/18/2012
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