Individual
MR. CARL W GRAY
Active
Individual
MR. CARL W GRAY
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
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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