Laird Ian Clark (NPI# 1811289416, PAC ID# 0648445767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1811289416 |
| PAC ID by PECOS | 0648445767 |
| Professional Enrollment ID | I20150529001839 |
| Full Name | Laird Ian Clark |
| Organization Legal Name | MOAB VALLEY HEALTHCARE INC |
| Address |
450 Williams Way Moab UT 84532-2185 |
| Phone Number | 4357193500 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2466361720 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 450 Williams Way, Moab, UT 84532-2185 | 4357193500 | MOAB VALLEY HEALTHCARE INC |
| Organization Legal Name | MOAB VALLEY HEALTHCARE INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth L Williams | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Kimberly Franke | Orthopedic Surgery | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Paul Michael Johnson | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Dylan Cole | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Patrick M Scherer | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Michael J Quinn | Orthopedic Surgery | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Whitney Mack | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Katherine Kallmeyer Williams | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Jonas S Munger | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Philip A Kopell | Anesthesiology | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Street Address |
450 WILLIAMS WAY |
| City | MOAB |
| State | UT |
| Zip | 84532-2185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth L Williams | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Kimberly Franke | Orthopedic Surgery | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Paul Michael Johnson | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Dylan Cole | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Patrick M Scherer | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Michael J Quinn | Orthopedic Surgery | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Whitney Mack | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Katherine Kallmeyer Williams | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Lamia Boric | Medical Oncology | Scl Health Medical Group-grand Junction LLC | 450 Williams Way, Moab, UT 84532-2065 |
| Peter Blaine Hathaway | Diagnostic Radiology | Utah Imaging Associates Inc | 450 Williams Way, Moab, UT 84532-2065 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leo W Hardy | Pathology | 450 W Williams Way, Moab, UT 84532-2065 | |
| Paul Norman Weiss | Diagnostic Radiology | Utah Imaging Associates Inc | 450 Williams Way, Moab, UT 84532-2065 |
| Paula Marchionda | Preventative Medicine | Scl Health Medical Group-grand Junction LLC | 450 Williams Way, Moab, UT 84532-2065 |
| Jonas S Munger | Family Medicine | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Philip A Kopell | Anesthesiology | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Daniel J Roush | Certified Registered Nurse Anesthetist (crna) | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Kim Michelle Brandau | General Surgery | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Lauren Claire Prest | Psychiatry | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Keely F Hanson | Physician Assistant | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Julia S Heaton | Family Practice | Moab Valley Healthcare Inc | 450 Williams Way, Moab, UT 84532-2185 |
| Find all physicians in zip 84532 | |||
| City | MOAB |
| Zip Code | 84532 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MOAB + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Laird Ian Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.