Dennis Wayne Clark in Ballwin - Nurse Anesthetist, Certified Registered
Dennis Wayne Clark - NPI 1710914486
Dennis Wayne Clark is a Nurse Anesthetist, Certified Registered in Ballwin, Missouri. Dennis Wayne Clark practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Dennis Wayne Clark is 1710914486. The last update date is 2010-08-16.
Dennis Wayne Clark's current location address is 13523 Barrett Parkway Drive, Ballwin, Missouri. You can contact this provider via phone number 6369366868 and fax number 6369381486. The mailing address for Dennis Wayne Clark is 13523 Barrett Parkway Drive, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis Wayne Clark |
|---|---|
| Address | 13523 Barrett Parkway Drive, Ballwin, Missouri |
| Phone Number | 6369366868 |
| Fax Number | 6369381486 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1710914486 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2010-08-16 |
Provider Mailing Address Detail
| Address | 13523 Barrett Parkway Drive |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 630213802 |
| Phone Number | 6369366868 |
| Fax Number | 6369381486 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 1-097193 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3429236 | MS | -- | |
| 51511198 | AL | BCBS | |
| 51511198 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dennis Wayne Clark by the Centers for Medicare & Medicaid Services?
The Dennis Wayne Clark has been assigned the NPI (National Provider Identifier) 1710914486 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Dennis Wayne Clark's facilities are situated?
The facilities of Dennis Wayne Clark are physically located at the following address: 13523 Barrett Parkway Drive, Ballwin, MO, 630213802.
What is Dennis Wayne Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dennis Wayne Clark's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Dennis Wayne Clark receive the assignment of its 1710914486 from the Centers for Medicare & Medicaid Services?
The Dennis Wayne Clark was issued its 1710914486 by the Centers for Medicare & Medicaid Services on 2006-06-27.
When was the information regarding Dennis Wayne Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dennis Wayne Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-08-16.