Individual
DR. ANNCLARK BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
618 PEGRAM DR, TUPELO, MS 38801-6322
(662) 401-6150
(662) 840-7032
Mailing address
618 PEGRAM DR, TUPELO, MS 38801-6322
(662) 401-6150
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A4667
MS
Other
Enumeration date
07/07/2021
Last updated
12/14/2022
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