Whalio Doctors

NPI 1013964089

Anthony Clark, CRNA

Practitioner Certified Registered Nurse Anesthetist Canton, OH

Practice location

Address
2600 Sixth Street SW Ohio Hospital Based Physician Corp, Canton, OH 44710
Phone
(330) 363-7462
Fax
(330) 363-7679
Mailing address
PO Box 80690, Canton, OH 44708-0690

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence APRN.CRNA.03168 (OH)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence KN237880 (OH)

Registry record

NPI
1013964089
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 May 2006
Record last updated
19 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.