Individual
THOMAS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1000 HEALTH CENTER DRIVE, ANESTHESIOLOGY DEPARTMENT, MATTOON, IL 61938
(217) 258-2440
Mailing address
1000 HEALTH CENTER DRIVE, ANESTHESIOLOGY DEPARTMENT, MATTOON, IL 61938
(217) 258-2440
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-000882
IL
Other
Enumeration date
09/28/2006
Last updated
04/25/2011
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