Gregory W Clark CRNA

NPI 1376776633 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1376776633
Gender Male
Enumeration Date 09/02/2009
Last Updated 12/10/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
100 KNOWLSON AVE
BEAVER FALLS PA, 15010-1634, US
Phone (724) 891-2100
Fax (724) 891-2735
Business Location
100 KNOWLSON AVE
BEAVER FALLS PA, 15010-1634, US
Phone (724) 891-2100
Fax (724) 891-2735
Toxanomy
Taxonomy Code 367500000X
License State Pennsylvania
License Number RN550651
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According to our database, Gregory W Clark CRNA NPI is 1376776633, taxonomy code is 367500000X and license number is RN550651, license state is located at Pennsylvania. Gregory W Clark CRNA physically located at 100 Knowlson Ave, Beaver Falls PA, 15010-1634. NPI Number Gregory W Clark CRNA has the Individual type.

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1376776633 NPI number is provided on an as is basis without warranty of any kind. 1376776633 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory W Clark CRNA are for informational purposes only.