Individual
MS. SHARON R CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
1009 E DIMOND BLVD, ANCHORAGE, AK 99515-2009
(907) 522-4357
(907) 522-5631
Mailing address
1009 E DIMOND BLVD, ANCHORAGE, AK 99515-2009
(907) 522-4357
(907) 522-5631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D4
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA 1114
—
AK
Enumeration date
04/05/2007
Last updated
07/09/2007
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