Daniel J. Reside, CRNA
NPI #1942298898 in Springfield, Illinois
Provider Information
- NPI Number
- 1942298898
- Entity Type
- Individual
- Name
- Daniel J. Reside, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Oct 13, 2005
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 800 EAST CARPENTER STREET
- Address 2
- ROOM 2K64
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62769-0001
- Phone
- (217) 525-5643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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