Individual
DR. STACEY K CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16528 E DESMET CT, SPOKANE VALLEY, WA 99216-3522
(509) 944-8910
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301092664
MI
207P00000X
Emergency Medicine Physician
Primary
MD60733583
WA
Other
Enumeration date
07/02/2008
Last updated
07/09/2025
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