STEPHEN W. CLARK

SHREVEPORT, LA
NPI1437210630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP01372)
Enumeration Date2006-12-12
Last Update Date2007-07-08
Business Address
Mr. STEPHEN W. CLARK CRNA
1130 LOUISIANA AVE
SHREVEPORT, LA 71101-3908
Phone number: 678-227-1211
Mailing Address
Mr. STEPHEN W. CLARK CRNA
4950 OAK POINT DR
SHREVEPORT, LA 71107-7409
Phone number: 318-227-1211
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