Individual
GREGORY SCOTT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3333 W DEYOUNG ST, MARION, IL 62959-5884
(618) 998-7000
Mailing address
262 WOODLAND HILL RD, POPLAR BLUFF, MO 63901-1870
(573) 778-5706
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123868
MO
367500000X
Certified Registered Nurse Anesthetist
209019721
IL
Other
Enumeration date
06/10/2019
Last updated
06/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us