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Individual

DR. JENKINS LUCAS CLARKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
450 MOUNTAIN VIEW, POWELL VALLEY HEALTHCARE, POWELL, WY 82435
(307) 754-7257
(307) 754-1226
Mailing address
777 AVE H, POWELL VALLEY HEALTHCARE, POWELL, WY 82435
(307) 754-7257
(307) 754-1226

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9432A
WY
207V00000X
Obstetrics & Gynecology Physician
98-00815
NC
207V00000X
Obstetrics & Gynecology Physician
MD25997
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8911641
NC
Enumeration date
08/29/2006
Last updated
03/20/2015
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