Individual
MRS. DEBRA DOUBLET CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1609 W 40TH AVE, SUITE 501, PINE BLUFF, AR 71603-6329
(870) 534-3449
(870) 535-3973
Mailing address
1609 W 40TH AVE, SUITE 501, PINE BLUFF, AR 71603-6329
(870) 534-3449
(870) 535-3973
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA163
AR
Other
Enumeration date
04/21/2006
Last updated
02/23/2009
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