Amy K Clark, CRNA

NPI #1790057222 in Longview, Texas

Provider Information

NPI Number
1790057222
Entity Type
Individual
Name
Amy K Clark, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jan 30, 2012
Last Updated
Jan 30, 2012

Practice Location

Address
6580 JUDSON RD
State
Texas
ZIP Code
75605-7076
Phone
(800) 939-7440

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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