Clark, Ryan Mathew

Clark, Ryan Mathew is an individual health care provider with primary practice located at 1500 N Oakland , Bolivar MO 65613-3099. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Clark, Ryan Mathew can be contacted via phone (417) 328-7705.

Contact Information

Primary practice address
1500 N Oakland Bolivar MO 65613-3099
Phone: (417) 328-7705
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 2011022952 Missouri

Profile Details

NPI number 1184903460
LBN Legal business name Clark, Ryan Mathew
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2011
Last updated Aug 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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