DUSTIN B IVEY

MERIDIAN, MS
NPI1427069699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R857409)
Enumeration Date2006-08-11
Last Update Date2007-07-08
Business Address
-- DUSTIN B IVEY CRNA
2124 14TH ST
MERIDIAN, MS 39301-4040
Phone number: 601-553-6000
Mailing Address
-- DUSTIN B IVEY CRNA
86 STREBECK RD
HICKORY, MS 39332-3252
Phone number: 601-635-4475
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