Dr TREY NATHANIEL GORHAM is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2016.
BLACK MOUNTAIN ANESTHESIA GROUP
750 HOSPITAL LOOP
CRAIG
CO
816258750
Tel: 9708505607
| Npi | 1356897698 |
| Pac Id | 5496043226 |
| Professional Enrollment Id | I20170502000396 |
| Last Name | GORHAM |
| First Name | TREY |
| Middle Name | NATHANIEL |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | BLACK MOUNTAIN ANESTHESIA GROUP |
| Group Practice Pac Id | 6800107525 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 750 HOSPITAL LOOP |
| Line 2 Street Address | |
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| City | CRAIG |
| State | CO |
| Zip Code | 816258750 |
| Phone Number | 9708505607 |
| Hospital Affiliation Ccn 1 | 061314 |
| Hospital Affiliation Lbn 1 | MEMORIAL HOSPITAL, THE |
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| Professional Accepts Medicare Assignment | M |
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