Individual
GREGORY L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(720) 321-1048
(303) 397-2004
Mailing address
PO BOX 150, HOLLY, CO 81047-0150
(719) 537-0712
(719) 537-6284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0186996
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186996
CO LICENSE
CO
Enumeration date
02/05/2013
Last updated
02/05/2013
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