Jason H Clark & Sandra J Clark
NPI #1912185927 in Water Valley, Mississippi
Provider Information
- NPI Number
- 1912185927
- Entity Type
- Organization
- Organization Name
- Jason H Clark & Sandra J Clark
- Primary Specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Enumeration Date
- Feb 1, 2008
- Last Updated
- Dec 3, 2008
Practice Location
- Address
- 139 COUNTY ROAD 379
- City
- Water Valley
- State
- Mississippi
- ZIP Code
- 38965-3607
- Phone
- (662) 514-5215
Authorized Official
- Name
- JASON CLARK
- Title
- OWNER
- Phone
- (662) 514-5215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
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