Individual
DUSTIN TYLER DIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(219) 523-3334
Mailing address
10202 HALCYON CT, GRANGER, IN 46530-6052
(574) 217-8466
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
079421
FL
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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