DANIEL EWING CLARK

IDAHO FALLS, ID
NPI1295267029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  54479)
Enumeration Date2017-03-30
Last Update Date2023-02-03
Business Address
DANIEL EWING CLARK CRNA
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
Mailing Address
DANIEL EWING CLARK CRNA
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
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