Individual
MR. ELLIOTT EMILE MCGREGORY
Active
Individual
MR. ELLIOTT EMILE MCGREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28095018A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088671
ANTHEM PIN
IN
05
—
200023550A
—
IN
01
—
430050136
RAILROAD PIN
IN
Enumeration date
07/05/2005
Last updated
06/01/2010
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