Individual
DR. JOHN ROBERT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42 EAST ROWAN SUITE B, SPOKANE, WA 99207
(509) 489-3879
(509) 484-1823
Mailing address
42 EAST ROWAN SUITE B, SPOKANE, WA 99207
(509) 489-3879
(509) 484-1823
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD0016474
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124325
L & I
—
05
—
1105469
—
WA
Enumeration date
11/28/2006
Last updated
07/08/2007
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