Individual
MR. GREGORY ALTON RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1703 N BUERKLE ST, STUTTGART, AR 72160-3153
(501) 202-2093
(501) 202-6316
Mailing address
11001 EXECUTIVE CENTER DR, LITTLE ROCK, AR 72211-4316
(501) 202-2093
(501) 202-6316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C003138
AR
367500000X
Certified Registered Nurse Anesthetist
R858108
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07286254
—
MS
Enumeration date
08/21/2006
Last updated
07/01/2016
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