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Individual
DR. CLARK W PILLSBURY
Active
Individual
DR. CLARK W PILLSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
8801
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002116004
—
NV
01
—
P00036112
RAILROAD MEDICARE
NV
Enumeration date
11/20/2006
Last updated
10/18/2011
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