TIMOTHY M. CLARK

BIRMINGHAM, AL
NPI1457579831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-083920)
Enumeration Date2007-04-23
Last Update Date2013-12-05
Business Address
TIMOTHY M. CLARK CRNA
800 MONTCLAIR RD
BIRMINGHAM, AL 35213-1908
Phone number: 205-592-1785
Mailing Address
TIMOTHY M. CLARK CRNA
PO BOX 235022
MONTGOMERY, AL 36123-5022
Phone number: 334-386-2051
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