Daniel Ewing Clark, CRNA
NPI #1295267029 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1295267029
- Entity Type
- Individual
- Name
- Daniel Ewing Clark, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Mar 30, 2017
- Last Updated
- Feb 3, 2023
Practice Location
- Address
- 3100 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7533
- Phone
- (208) 529-6111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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