Individual
DR. CLARK W PILLSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10463 DOUBLE R BLVD, SUITE 100, RENO, NV 89521-8908
(775) 358-2542
(775) 358-1413
Mailing address
10463 DOUBLE R BLVD, SUITE 100, RENO, NV 89521-8908
(775) 358-2542
(775) 358-1413
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
8801
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002116004
—
NV
01
—
P00036112
RAILROAD MEDICARE
NV
Enumeration date
11/20/2006
Last updated
10/18/2011
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