Individual
WILLIAM R CLARK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 W NORTHERN LIGHTS BLVD, SUITE 800, ANCHORAGE, AK 99503-3902
(907) 276-2803
(907) 278-8052
Mailing address
188 W NORTHERN LIGHTS BLVD, SUITE 800, ANCHORAGE, AK 99503-3902
(907) 276-2803
(907) 278-8052
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
AK1625
AK
208800000X
Urology Physician
Primary
MD61117110
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1625
—
AK
Enumeration date
05/22/2006
Last updated
11/11/2021
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