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Individual

DR. JASON HALSEY CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5201 YELLOWSTONE RD, CHEYENNE, WY 82009-4741
(307) 632-1114
(307) 632-9920
Mailing address
7035 LEGACY PKWY, CHEYENNE, WY 82009-8384
(307) 634-6871

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7424A
WY

Other

Enumeration date
10/06/2006
Last updated
03/07/2023
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