Individual
GREGORY SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 WILDWOOD AVE, SHERWOOD, AR 72120-5089
(501) 552-7100
Mailing address
233 W 1ST ST, WACONIA, MN 55387-1302
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R36330
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W303
BLUE CROSS OF AR
AR
Enumeration date
05/28/2006
Last updated
07/08/2007
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