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Individual
CLARK A MORRES
Active
Individual
CLARK A MORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00030982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220446
LIWA
WA
01
—
0222148
LIWA
WA
01
—
0227044
LIWA
WA
05
—
244194
—
OR
01
—
3455MO
BSWA
WA
05
—
8481384
—
WA
01
—
8796MO
BSWA
WA
05
—
8866141
—
WA
Enumeration date
10/26/2005
Last updated
02/27/2008
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