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Individual

GREGORY SOUZA

Active
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Individual

GREGORY SOUZA

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
041190036
IL
367500000X
Certified Registered Nurse Anesthetist
2004016345
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
911071603
MO
01
P00405166
RAILROAD MEDICARE
MO
Enumeration date
07/19/2006
Last updated
11/26/2019
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