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Individual

GREGORY R. MOUNTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-CRNA

Contact information

Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1672
(614) 544-2507
(614) 544-2384
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8487

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CNP.019701
OH

Other

Enumeration date
03/28/2018
Last updated
02/21/2022
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