Individual
GORDON B GRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4303
(610) 250-4846
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(215) 442-5085
(877) 329-2370
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN243009L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045549
AANA ID#
PA
01
—
50103360
CAPITAL BLUECROSS ID
PA
01
—
P00931229
RAILROAD MEDICARE PTAN
PA
01
—
RN188485
RN/NA LICENSE #
MA
Enumeration date
01/30/2006
Last updated
03/07/2012
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