Individual
DR. MARK GRIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNAP
Contact information
Practice address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-3030
Mailing address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-3030
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
100838
NE
367500000X
Certified Registered Nurse Anesthetist
COA.11621-NA
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
D140600
IA
Other
Enumeration date
10/18/2005
Last updated
03/08/2016
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