Organization
DUCKWATER HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WILBUR P.A. (P.A.)
(775) 863-0222
Entity
Organization
Contact information
Practice address
502 DUCKWATER FALLS RD, DUCKWATER, NV 89314
(775) 863-0222
Mailing address
502 DUCKWATER FALLS RD, PO BOX 140087, DUCKWATER, NV 89314
(775) 863-0222
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144222761
CLINIC NPI NUMBER
—
01
—
2907369
ASEP NCPDP NUMBER
—
Enumeration date
05/14/2007
Last updated
10/15/2025
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