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Mr. Gary D Clark, CRNA

Registered Nurse in Bridgeton, MO · enumerated 2005 · practices at William Wang LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063493468

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Registry record

Entity type Individual (Type 1)
Name Mr. Gary D Clark
Credential CRNA
Sex Male
Practice address 12303 Depaul Drive, Bridgeton, MO, 63044
Phone (314) 344-7049
Fax (314) 344-7073
Enumeration date Nov 11, 2005
Last updated in NPPES Sep 11, 2025

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License RN057425 (MO) Primary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 057425 (MO) Secondary
CRNA · Certified Registered Nurse Anesthetist: An advanced practice nurse specializing in anesthesia care. About the CRNA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Gary Clark?
The National Provider Identifier (NPI) for Gary Clark is 1063493468, a Type 1 (individual) record in the CMS NPPES registry.
Where does Gary Clark practice?
The practice location on file with NPPES is in Bridgeton, MO. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.