ROBERT CHARLES CLARK

DOTHAN, AL
NPI1992766703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1044483)
Enumeration Date2006-03-31
Last Update Date2011-07-25
Business Address
ROBERT CHARLES CLARK CRNA
4370 W MAIN ST
DOTHAN, AL 36305
Phone number: 334-793-5000
Mailing Address
ROBERT CHARLES CLARK CRNA
PO BOX 6907
DOTHAN, AL 36302
Phone number: 334-793-5000