DAVE CLARK

SIOUX CITY, IA
NPI1831191634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IA  066209)
Enumeration Date2005-08-11
Last Update Date2008-04-29
Business Address
-- DAVE CLARK CRNA
801 5TH ST
SIOUX CITY, IA 51101-1394
Phone number: 712-279-2505
Mailing Address
-- DAVE CLARK CRNA
400 E 10TH ST
WACONIA, MN 55387-4552
Phone number: 952-442-9770
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