NPI 1699789263 · live from the CMS NPI Registry
Teralynn S Clark, MD
Anesthesiology in Watertown, SD. National Provider Identifier 1699789263, active.
NPI record
| NPI | 1699789263 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 1201 Mickelson Dr Ste 2, Watertown, SD 57201 |
| Practice phone | 605-882-0432 |
| Enumerated | July 28, 2006 |
| Last updated | February 22, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 4316 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.