Individual
DR. GARY DOUGLAS GRIDLEY
Active
Individual
DR. GARY DOUGLAS GRIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30200
AZ
207L00000X
Anesthesiology Physician
MD00030603
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181547
DEPT OF LABOR & INDUSTRIE
WA
01
—
5647GR
REGENCE BLUE SHIELD
WA
05
—
8312498
—
WA
01
—
8930278
CRIME VICTIMS PGM
WA
Enumeration date
11/08/2005
Last updated
10/18/2022
Update your record
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