Gary Clark, CRNA
NPI 1063493468 belongs to Gary Clark, CRNA, a registered nurse with a practice location in Bridgeton, MO. The NPI was issued on November 11, 2005, and the record was last updated in NPPES on July 13, 2026. The record lists 2 taxonomy codes.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | RN057425 (MO) |
| Certified Registered Nurse Anesthetist | 367500000X | 057425 (MO) |
Practice location
Local context
Active NPPES records list 704 providers with registered nurse as the primary taxonomy within 25 miles of this practice location's ZIP code, 290 of them within 10 miles.
The same primary taxonomy is listed by 1,678 in Missouri and 156,539 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Mr. Gary D Clark
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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