Individual
DERRICK GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211
(334) 377-4415
(334) 377-4417
Mailing address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211
(334) 377-4415
(334) 377-4417
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1116241
AL
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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