Individual
DANIEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-2072
Mailing address
PO BOX 94645, SEATTLE, WA 98124-6945
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60701689
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60732194
WA
Other
Enumeration date
01/18/2017
Last updated
05/03/2021
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