Mr Milton Nicholas Dudenhefer Iii, CRNA | |
801 Goodyear Blvd, Picayune, MS 39466 | |
(601) 798-4711 | |
(601) 749-3187 |
Full Name | Mr Milton Nicholas Dudenhefer Iii |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 801 Goodyear Blvd, Picayune, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477636363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R857502 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
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Mr Milton Nicholas Dudenhefer Iii, CRNA Po Box 909, 801 Goodyear Blvd, Picayune, MS 39466 Ph: (601) 798-4711 | Mr Milton Nicholas Dudenhefer Iii, CRNA 801 Goodyear Blvd, Picayune, MS 39466 Ph: (601) 798-4711 |
Mr. Jed Dean Zak, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 801 Goodyear Blvd, Picayune, MS 39466 Phone: 601-798-4711 | |
Mr. Vincent Guy Lombardo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Goodyear Blvd, Picayune, MS 39466 Phone: 601-798-4711 Fax: 601-749-3187 |