Individual
MR. CARL W GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11401 INTERSTATE 30, LITTLE ROCK, AR 72209-7042
(501) 455-7100
(501) 455-7399
Mailing address
PO BOX 22390, HOT SPRINGS, AR 71903-2390
(800) 235-1415
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00604
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59681
BCBS AR
—
01
—
P00195200
RR MEDICARE
—
Enumeration date
10/06/2005
Last updated
03/27/2008
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