Individual
NATHAN SCOTT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2020 E 29TH AVE LOWR LEVEL, SPOKANE, WA 99203-3917
(509) 626-9400
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61170471
WA
Other
Enumeration date
05/04/2021
Last updated
07/18/2024
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