Stephen W. Clark in Shreveport - Nurse Anesthetist, Certified Registered

Stephen W. Clark - NPI 1437210630

Stephen W. Clark is a Nurse Anesthetist, Certified Registered in Shreveport, Louisiana. Stephen W. Clark practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Stephen W. Clark is 1437210630. The last update date is 2007-07-08.

Stephen W. Clark's current location address is 1130 Louisiana Ave, Shreveport, Louisiana. You can contact this provider via phone number 6782271211 and fax number 3186784185. The mailing address for Stephen W. Clark is 1130 Louisiana Ave, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen W. Clark
Address 1130 Louisiana Ave, Shreveport, Louisiana
Phone Number 6782271211
Fax Number 3186784185
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1437210630
Provider Enumeration Date 2006-12-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1130 Louisiana Ave
City Shreveport
State Louisiana (LA)
Post Code 711013908
Phone Number 6782271211
Fax Number 3186784185

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No AP01372
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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FAQs about Stephen W. Clark

What is the unique identifier code issued to Stephen W. Clark by the Centers for Medicare & Medicaid Services (CMS)?

The Stephen W. Clark has been assigned the NPI (National Provider Identifier) 1437210630. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Stephen W. Clark's physical address?

The Stephen W. Clark is physically located at 1130 Louisiana Ave, in the city of Shreveport, LA, with the postal code 711013908.

What is Stephen W. Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stephen W. Clark is Nurse Anesthetist, Certified Registered, and the taxonomy code that classifies this field of practice is 367500000X.

When did Stephen W. Clark receive its 1437210630 assignment?

The Stephen W. Clark was assigned its 1437210630 on 2006-12-12, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Stephen W. Clark most recently updated or revised?

The details related to Stephen W. Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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