Individual
MR. RYAN SEAN DREIKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4000
Mailing address
329 GRIFFITH AVE, JOHNSTOWN, PA 15909-1005
(814) 322-4245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
088711
PA
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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