Individual
JASON DEAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
704 E WOODLAWN DR, SIOUX FALLS, SD 57105-4033
(605) 335-7746
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R034213
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000788
SD
Other
Enumeration date
02/09/2012
Last updated
05/02/2012
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