National Provider Identifier
Gordon Dietz, CRNA
Gordon Dietz, CRNA is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Springville, NY and a listed phone number of (716) 592-2871.
Profile Overview
- NPI
- 1790730299
- Provider Type
- Individual
- Primary Specialty
- Certified Registered Nurse Anesthetist
- Enumeration Date
- May 23, 2006
- Last Updated
- September 16, 2011
Practice Location
- 224 E Main St
- Bertrand Chaffee Hospital
- Springville, NY 14141-1443
Phone: (716) 592-2871
Specialties
- Certified Registered Nurse Anesthetist (367500000X)
Full Record
- NPI
- 1790730299
- Entity Type
- Individual
- Last Name
- Dietz
- First Name
- Gordon
- Name Prefix
- Mr.
- Credential
- CRNA
- Mailing Street Address
- 224 E Main St
- Mailing Address Line 2
- Bertrand Chaffee Hospital
- Mailing City
- Springville
- Mailing State
- NY
- Mailing ZIP Code
- 14141-1443
- Mailing Country
- US
- Mailing Phone
- (716) 592-2871
- Mailing Fax
- (716) 794-0025
- Practice Street Address
- 224 E Main St
- Practice Address Line 2
- Bertrand Chaffee Hospital
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-1443
- Practice Country
- US
- Practice Phone
- (716) 592-2871
- Practice Fax
- (716) 794-0025
- Enumeration Date
- May 23, 2006
- Last Updated
- September 16, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Certified Registered Nurse Anesthetist (367500000X)
- Other Identifiers
- 007496140 0004 (PA), 050514 (PA, Group Medicare #), RN326868L (PA, RN License PA)