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IndividualActivePrescriber

Mr. Gary D Clark

CRNA

Registered Nurse

NPI: 1063493468Bridgeton, Missouri, 63044(314) 344-7049Male

About Mr. Gary D Clark

Mr. Gary D Clark, CRNA, is a male healthcare professional specializing in Registered Nurse, registered under National Provider Identifier (NPI) number 1063493468. Their primary practice is located at 12303 DEPAUL DRIVE, Bridgeton, Missouri 63044.

Patients can reach the office at (314) 344-7049. Mr. Gary D Clark is authorized to prescribe medications. Mr. Gary D Clark has been NPI-registered since 2005.

Doctor Details

Identity & Credentials

NPI Number
1063493468
Entity Type
Individual
First Name
Gary
Last Name
Clark
Credential
CRNA
Gender
Male
Status
active

Primary Practice Location

Address
12303 DEPAUL DRIVE
City
Bridgeton
State
Missouri
ZIP
63044
Country
United States
Phone
(314) 344-7049
Fax
(314) 344-7073

Specialty & Taxonomy

Primary Specialty
Registered Nurse
Classification
Registered Nurse
Taxonomy Code
163W00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
12303 DEPAUL DRIVE
City
BRIDGETON
State
MO
ZIP
63044

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Mr. Gary D Clark's NPI number?
Mr. Gary D Clark's National Provider Identifier (NPI) is 1063493468. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Gary D Clark specialize in?
Mr. Gary D Clark specializes in Registered Nurse.
Where is Mr. Gary D Clark located?
Mr. Gary D Clark practices at 12303 DEPAUL DRIVE, Bridgeton, Missouri 63044. You can reach them by phone at (314) 344-7049.
Does Mr. Gary D Clark accept Medicare?
Based on available data, Mr. Gary D Clark is not currently enrolled in the Medicare program.
Does Mr. Gary D Clark offer telehealth or virtual visits?
Mr. Gary D Clark does not currently offer telehealth services. In-person visits are required at their practice location.
Can Mr. Gary D Clark prescribe medications?
Yes, Mr. Gary D Clark is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Gary D Clark is 1063493468.