Individual
DR. WILLIAM L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16259 SYLVESTER RD SW, STE 501, BURIEN, WA 98166-3059
(206) 243-1100
(206) 431-0835
Mailing address
16259 SYLVESTER RD SW, STE 501, BURIEN, WA 98166-3059
(206) 243-1100
(206) 431-0835
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00033039
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227685
LABOR & INDUSTRIES
WA
05
—
8505752
—
WA
01
—
P00674058
MEDICARE RAILROAD
WA
Enumeration date
05/24/2005
Last updated
04/01/2009
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