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Individual
DEREK WILLIAM CLARK
Active
Individual
DEREK WILLIAM CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
MD158550
OR
2084N0400X
Neurology Physician
MD158550
OR
2084N0400X
Neurology Physician
MD60658145
WA
Other
Enumeration date
04/15/2010
Last updated
11/25/2022
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