Individual
BRIAN LLOYD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212
(573) 882-2568
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-2568
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2011008235
MO
Other
Enumeration date
03/21/2011
Last updated
06/01/2011
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