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Contact Information

EDWARD GRADMAN
430 N MONTE VISTA ST
ADA, OK74820-4610
 Phone: 580-332-2323
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for EDWARD GRADMAN · (Male)

NPI # 1366830432
Status Active
Credentials
Entity Individual
Enumeration date 12/24/2014
Last updated 08/30/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041368366
  • IL License # 209012356
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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