Gordon Dietz, CRNA
Nurse Anesthetist, Certified Registered in Springville, NY. Individual provider (NPI-1).
NPI number1790730299
StatusActive
Last updated in NPPESSep 16, 2011
Details
- NPI
- 1790730299
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gordon Dietz
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2006
- Last updated
- Sep 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R103713 | MD | Yes |
Practice location
224 E Main StBertrand Chaffee Hospital
Springville, NY 14141-1443
Phone 716-592-2871 · Fax 716-794-0025
Mailing address
224 E Main StBertrand Chaffee Hospital
Springville, NY 14141-1443
Phone 716-592-2871 · Fax 716-794-0025
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