Individual
DR. WILLIAM ROBERT CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 H STREET EAST, POPLAR, MT 59255
(406) 768-3491
(406) 768-3603
Mailing address
2506 PALOMINO CT, RICHLAND, WA 99352-9639
(509) 628-3455
(509) 628-8765
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD00039009
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3246612
—
MI
Enumeration date
11/27/2006
Last updated
01/18/2013
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