Organization
DNM ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID O DICK (AUTHORIZED REPRESENTATIVE)
(757) 288-9149
Entity
Organization
Contact information
Practice address
241 CORPORATE BLVD, NORFOLK, VA 23502-4975
(757) 622-2200
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(800) 516-5315
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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