| 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 | Registered Nurse |
| 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) | Secondary |
| 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 |
Amanda M Marshall, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Dr., Bridgeton, MO 63044 Phone: 314-344-6169 Fax: 314-344-7997 | |
Mr. Thomas Mark Hentrich, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Betty Marcella Hughes, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-206-3900 | |
Brenna Kate Scott, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12380 De Paul Dr, Bridgeton, MO 63044 Phone: 314-447-9700 | |
Amanda Rea Miller, RN, MSN, PMHNP-BC Registered Nurse Medicare: Medicare Enrolled Practice Location: 12303 Depaul Dr., Bridgeton, MO 63044 Phone: 314-344-6000 | |
Cynthia Whiteside, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 Fax: 314-206-3490 |