GREGORY L. MCMICHAEL

PUEBLO, CO
NPI1255652491
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  175046)
Enumeration Date2010-06-22
Last Update Date2010-06-22
Business Address
GREGORY L. MCMICHAEL CRNA
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4420
Mailing Address
GREGORY L. MCMICHAEL CRNA
1218 N MAIN ST
PUEBLO, CO 81003-2828
Phone number: 719-543-7877
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