Individual
MR. NATHANIEL ROBERT CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
NAVAL HOSPITAL 6000 WEST HWY 98, PENSACOLA, FL 32512-0003
(240) 898-7288
(850) 505-6288
Mailing address
NAVAL HOSPITAL 6000 WEST HWY 98, PENSACOLA, FL 32512-0003
(240) 898-7288
(850) 505-6288
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001219375
VA
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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