Individual
GREGORY A O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-6863
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-6863
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2018015163
MO
367500000X
Certified Registered Nurse Anesthetist
209002951
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041299335
RN LICENSE
IL
01
—
050151
CCNA CERTIFICATION
—
Enumeration date
03/24/2006
Last updated
06/27/2019
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