Micah Shea Clark

NPI #1205902236 in Oak Ridge, Tennessee

Provider Information

NPI Number
1205902236
Entity Type
Individual
Name
Micah Shea Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Nov 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
990 OAK RIDGE TPKE
ZIP Code
37830-6976
Phone
(931) 858-6303

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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