Individual
DR. MARK ELIOT CLYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2490 S. WOODWORTH LOOP, STE 350, PALMER, AK 99645-7411
(907) 745-2663
(907) 745-2600
Mailing address
2490 S. WOODWORTH LOOP, STE 350, PALMER, AK 99645-7411
(907) 745-2663
(907) 745-2600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4734
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1984
—
AK
01
—
P00111691
MDCR RAILROAD
—
Enumeration date
06/15/2006
Last updated
12/12/2007
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