NPI 1013964089
Anthony Clark, CRNA
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
Anesthesiology Physician
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.