Individual
DR. GARY W. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2601
Mailing address
3605 ARBOR DR SE, LACEY, WA 98503-4801
(360) 455-0443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
181373-1205
UT
Other
Enumeration date
01/20/2006
Last updated
06/01/2020
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