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Individual

MR. GARY C GRAY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3918
(509) 474-5345
Mailing address
1224 W RIVERSIDE AVE, APPT. 1006, SPOKANE, WA 99201-1134
(509) 474-5307
(509) 474-5345

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006259
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9634999
AP
WA
Enumeration date
03/09/2006
Last updated
07/09/2007
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