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Individual

DANA L. CLAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2829
(417) 820-8852
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2011028702
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447531124
MO
05
190016001
AR
01
431560263
TRICARE
MO
01
P00985957
RR MCR
MO
Enumeration date
09/08/2011
Last updated
02/29/2012
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