ETHAN J DIESTLER

SAINT LOUIS, MO
NPI1700732807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2026020569)
Enumeration Date2026-03-10
Last Update Date2026-05-14
Business Address
ETHAN J DIESTLER CRNA
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-525-1000
Mailing Address
ETHAN J DIESTLER CRNA
PO BOX 22407
SAINT LOUIS, MO 63126-0407
Phone number: 636-386-7222
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