Individual
HAROLD G CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4404 80TH ST NE, MARYSVILLE, WA 98270-3427
(360) 659-1231
(360) 659-7267
Mailing address
4404 80TH ST NE, MARYSVILLE, WA 98270-3427
(360) 659-1231
(360) 659-7267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00025335
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1046184
—
WA
Enumeration date
06/16/2005
Last updated
01/25/2011
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