Individual
DUANE GILL
Active
Individual
DUANE GILL
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
C01291 CRNA
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146071701
—
AR
01
—
5W186
BLUE CROSS BLUE SHIELD
AR
01
—
P00119263
RR MEDICARE GRP# CD7786
AR
Enumeration date
06/02/2006
Last updated
05/22/2008
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