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GLEN DEITRICK, C.R.N.A
C.R.N.A
Certified Registered Nurse Anesthetist
NPI: 1033214564Individual
Specialties, Licenses & Credentials
Certified Registered Nurse AnesthetistPrimary
Nurse Anesthetist, Certified Registered
Code: 367500000X
R128610(MS)
Contact & Hours
- Address
- 15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503 - Phone
- (228) 831-0204
Quick Facts
- NPI
- 1033214564
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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