Individual
RONALD B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 S 3RD ST, GADSDEN, AL 35901-5304
(256) 543-5200
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-030288
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-030288
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170074
—
AL
01
—
511-57668
BCBS
AL
Enumeration date
02/23/2006
Last updated
08/04/2025
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