William Clark0
NPI #1487886834 in Hernando, Mississippi
Provider Information
- NPI Number
- 1487886834
- Entity Type
- Individual
- Name
- William Clark0
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Enumeration Date
- Aug 19, 2009
- Last Updated
- Aug 19, 2009
Practice Location
- Address
- 8921 BLACK PANTHER CV
- City
- Hernando
- State
- Mississippi
- ZIP Code
- 38632-4305
- Phone
- (901) 590-5968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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