Individual
RALPH MARTIN RAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2966
(217) 464-1605
Mailing address
715 COUNTRY MANOR DR, DECATUR, IL 62521-2524
(217) 424-2379
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
02/12/2006
Last updated
07/08/2007
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