Organization
LEGACY ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DUANE DEINDOERFER CRNA (OWNER)
(423) 639-0941
Entity
Organization
Contact information
Practice address
12186 PAW PAW PLAINS RD, LENOIR CITY, TN 37771-3510
(423) 639-0941
(423) 638-3401
Mailing address
12186 PAW PAW PLAINS RD, LENOIR CITY, TN 37771-3510
(423) 639-0941
(423) 638-3401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
01/24/2018
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