Individual
MR. RODNEY THOMAS GRAVENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA0001088
CO
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
09/04/2006
Last updated
11/17/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up