Individual
CHARLOTTE BARBARA CLARK-NEITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3775 MARTIN WAY E, SUITE A, OLYMPIA, WA 98506-5007
(360) 236-7166
(360) 529-8070
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9562
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0029059
WA
Other
Enumeration date
01/17/2007
Last updated
02/21/2014
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