CARL CLARK, CRNA

Anesthesiology

Active Individual
NPI: 1114914652

Practice Address

525 WESTERN AVE
STE 201
Conway, AR 72034

Phone: (501) 327-6665

Specialties

Specialty Code Primary License
Anesthesiology 207L00000X Yes C00642 (AR)

Frequently Asked Questions

NPI 1114914652 is the National Provider Identifier for CARL CLARK, CRNA, a Anesthesiology provider located in Conway, AR. This NPI was enumerated on September 30, 2005.
CARL CLARK, CRNA practices at 525 WESTERN AVE, STE 201, Conway, AR 72034.

Quick Facts

NPI
1114914652
Type
Individual
Enumerated
Sep 30, 2005
Last Updated
Jul 8, 2007

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