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Individual
DR. WILLIAM S. CLARK
Active
Individual
DR. WILLIAM S. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20A8748
CA
207P00000X
Emergency Medicine Physician
02002521A
IN
207P00000X
Emergency Medicine Physician
Primary
20A8748
CA
208D00000X
General Practice Physician
20A8748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX87480
—
CA
Enumeration date
08/25/2006
Last updated
05/12/2022
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