Provider Demographics
NPI:1205864634
Name:GAY, DAVID B (CRNA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:GAY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6701 AIRPORT BLVD
Mailing Address - Street 2:SUITE D430B
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6705
Mailing Address - Country:US
Mailing Address - Phone:251-631-3270
Mailing Address - Fax:251-631-3273
Practice Address - Street 1:6701 AIRPORT BLVD
Practice Address - Street 2:SUITE D430B
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6705
Practice Address - Country:US
Practice Address - Phone:251-631-3270
Practice Address - Fax:251-631-3273
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-083945367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04724863Medicaid
AL51525866OtherBCBS
AL051525866Medicaid
Q36625Medicare UPIN
AL051525866Medicaid
ALP00185068Medicare PIN