Individual provider · Type 1 NPI

Gregory Scott Clark, CRNA

Certified Registered Nurse Anesthetist · Marion, IL

NPI number 1528627833 Active

Practice location

3333 W Deyoung St
Marion, IL 62959-5884

Mailing address

262 Woodland Hill Rd
Poplar Bluff, MO 63901-1870

Other practice locations

  • 201 S 14th St, Herrin, IL 62948-3631 · (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 · (618) 684-3156
  • 405 W Jackson St, Carbondale, IL 62901-1462 · (618) 549-0721

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X123868 (MO)
Certified Registered Nurse Anesthetist 367500000X209019721 (IL)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1528627833

Gregory Scott Clark, CRNA's National Provider Identifier is 1528627833, issued on Jun 10, 2019. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Marion, IL. The record was last updated on Jun 1, 2021.