JONATHAN SCOTT GRIST

YOUNGSTOWN, OH
NPI1730513342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  RN356025-1)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  265331)
Enumeration Date2013-08-30
Last Update Date2016-02-08
Business Address
-- JONATHAN SCOTT GRIST CRNA
1044 BELMONT AVE
YOUNGSTOWN, OH 44504-1006
Phone number: 330-480-3658
Mailing Address
-- JONATHAN SCOTT GRIST CRNA
4135 BOARDMAN CANFIELD RD SUITE 101
CANFIELD, OH 44406-9803
Phone number: 330-286-5330