Individual
MR. MICHAEL EUGENE CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
NAVAL HOSPITAL PENSACOLA, 6000 WEST HWY 98, PENSACOLA, FL 32512-0003
(850) 505-6762
Mailing address
309 NW SYRCLE DR, PENSACOLA, FL 32507-3223
(850) 453-8976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2695852
FL
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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