Individual
GREGORY BLAINE COLLINS
Active
Individual
GREGORY BLAINE COLLINS
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
9259760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
591-91703
BLUE CROSS BLUE SHIELD
AL
01
—
G4222
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/15/2007
Last updated
07/08/2007
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