Individual
MR. CLARK ALFRED POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-2100
Mailing address
7984 WITTY RD, SUMMERFIELD, NC 27358-9553
(336) 432-2684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125990
NC
Other
Enumeration date
12/19/2006
Last updated
01/09/2017
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