# CLARKSDALE REGIONAL PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarksdale Anesthesiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558863852
- **Authorized official:** STEVE CLAPP (PRESIDENT)
- **Authorized official phone:** (865) 269-4074

## Contact information

- **Practice address:** 1970 HOSPITAL DR, CLARKSDALE, MS 38614-7202
- **Practice address phone:** (662) 621-5019
- **Mailing address:** 1721 MIDPARK RD, KNOXVILLE, TN 37921-5977
- **Mailing address phone:** (865) 269-4074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 03/02/2018
- **Last updated:** 03/02/2018
