William Clark
NPI #1619650439 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1619650439
- Entity Type
- Individual
- Name
- William Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- Aug 9, 2023
- Last Updated
- Aug 9, 2023
Practice Location
- Address
- 4430 MISSOURI AVE
- State
- Missouri
- ZIP Code
- 65473-9098
- Phone
- (703) 309-5012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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