MR. GARY CLARK, CRNA

Registered Nurse

Active Individual
NPI: 1063493468

Practice Address

12303 DEPAUL DRIVE
Bridgeton, MO 63044

Phone: (314) 344-7049

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes RN057425 (MO)
Nurse Anesthetist, Certified Registered 367500000X No 057425 (MO)

Frequently Asked Questions

NPI 1063493468 is the National Provider Identifier for MR. GARY CLARK, CRNA, a Registered Nurse provider located in Bridgeton, MO. This NPI was enumerated on November 11, 2005.
MR. GARY CLARK, CRNA practices at 12303 DEPAUL DRIVE, Bridgeton, MO 63044.

Quick Facts

NPI
1063493468
Type
Individual
Enumerated
Nov 11, 2005
Last Updated
Sep 11, 2025

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