Randy R Gray in Red Bluff - Nurse Anesthetist, Certified Registered

Randy R Gray - NPI 1700954070

Randy R Gray is a Nurse Anesthetist, Certified Registered in Red Bluff, California. Randy R Gray practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Randy R Gray is 1700954070. The last update date is 2014-01-31.

Randy R Gray's current location address is 2550 Sister Mary Columba Dr, Red Bluff, California. You can contact this provider via phone number 5305288701 and fax number 5305288712. The mailing address for Randy R Gray is 2550 Sister Mary Columba Dr, Red Bluff, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy R Gray
Address 2550 Sister Mary Columba Dr, Red Bluff, California
Phone Number 5305288701
Fax Number 5305288712
Sole Proprietor Y
Credentials CRNA

NPI Number Detail

NPI Number 1700954070
Provider Enumeration Date 2006-12-02
Last Updated Date 2014-01-31

Provider Mailing Address Detail

Address 2550 Sister Mary Columba Dr
City Red Bluff
State California (CA)
Post Code 960804327
Phone Number 5305288701
Fax Number 5305288712

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 258
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
NA258 CA CERTIFIED NURSE ANETHETIS
1700954070 CA --

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FAQs about Randy R Gray

What is the unique 10-digit identification code assigned to Randy R Gray by the Centers for Medicare & Medicaid Services?

The Randy R Gray has been issued the NPI (National Provider Identifier) 1700954070, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Randy R Gray?

The Randy R Gray is physically situated at 2550 Sister Mary Columba Dr, in the city of Red Bluff, state of CA, with the postal code 960804327.

What is Randy R Gray's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Randy R Gray is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1700954070 to Randy R Gray?

The Centers for Medicare & Medicaid Services originally issued the 1700954070 to Randy R Gray on 2006-12-02.

As of what date was the information regarding Randy R Gray, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Randy R Gray, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-01-31.

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