Individual
DR. WILLIAM BUREN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8331 N DAVIS HWY, PENSACOLA, FL 32514
(850) 505-4700
(850) 505-4711
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME0058920
FL
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME58920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024627500
—
FL
05
—
054866900
—
FL
Enumeration date
01/18/2006
Last updated
10/19/2018
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