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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GORDON DIETZ, CRNA

Active

MR. GORDON DIETZ, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in SPRINGVILLE, New York. NPI 1790730299 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · SPRINGVILLE, NY

Registration Details

NPI Number
1790730299
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2006 (20.243499523543 yrs)
Last Updated
Sep 16, 2011
License
R103713 (MD)

Practice Information

Address
224 E MAIN ST
BERTRAND CHAFFEE HOSPITAL
SPRINGVILLE, NY, 141411443
Browse NY providers · Browse ZIP 14141
Phone
7165922871
Fax
7167940025
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in SPRINGVILLE, NY

Name Credential NPI
LORI ANN BAKER CRNA 1619922770
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.