Individual
WILLIAM W CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
975 ROBERTA LN STE 101B, SPARKS, NV 89431-6805
(775) 870-1545
(844) 965-9017
Mailing address
975 ROBERTA LN, STE 101B, SPARKS, NV 89431-6805
(775) 870-1545
(775) 686-6327
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO1419
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NV
Enumeration date
05/12/2008
Last updated
09/23/2021
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