Individual
THOMAS J DREDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
TWO WEST 42ND ST, SCOTTSBLUFF, NE 69361-0616
(308) 635-7362
(308) 635-0426
Mailing address
TWO WEST 42ND ST, SCOTTSBLUFF, NE 69361-0616
(308) 635-7362
(308) 635-0426
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100888
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08523
BCBS
—
01
—
P00200000
RR MEDICARE
—
Enumeration date
09/05/2006
Last updated
07/08/2007
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