JASON ANDREW CLARK

SALEM, VA
NPI1902101959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  00274169178)
Enumeration Date2011-01-24
Last Update Date2015-10-19
Business Address
-- JASON ANDREW CLARK CRNA
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
Mailing Address
-- JASON ANDREW CLARK CRNA
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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