| Mr Gary D Clark, CRNA | |
|
12303 Depaul Drive, Bridgeton, MO 63044 | |
| (314) 344-7049 | |
| (314) 344-7073 |
| Full Name | Mr Gary D Clark |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 12303 Depaul Drive, Bridgeton, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063493468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN057425 (Missouri) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 057425 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gary D Clark, CRNA 12303 Depaul Drive, Bridgeton, MO 63044 Ph: (314) 344-7049 | Mr Gary D Clark, CRNA 12303 Depaul Drive, Bridgeton, MO 63044 Ph: (314) 344-7049 |
Timothy J Guernsey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Harriett Hadi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 469-757-1042 Fax: 855-917-2066 | |
Amanda S Schoenbeck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Gina Newberry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 469-757-1042 Fax: 855-917-2066 | |
Taren Ashley Rutz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12303 Depaul Dr, Bridgeton, MO 63044 Phone: 314-775-2816 | |
Ms. Jessica Lee Roberts, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3550 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-741-0911 | |
Mr. William P Killeen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-7049 Fax: 314-344-7073 |