Individual
RANDY R GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2550 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4327
(530) 528-8701
(530) 528-8712
Mailing address
PO BOX 6940, CHICO, CA 95927-6940
(530) 518-9290
(530) 899-1953
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700954070
—
CA
01
—
NA258
CERTIFIED NURSE ANETHETIS
CA
Enumeration date
12/02/2006
Last updated
01/31/2014
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