Individual
MR. ROBERT CALYNN CLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6801 ROGERS AVE STE 5TH, FORT SMITH, AR 72903-4067
(479) 274-4100
Mailing address
6801 ROGERS AVE STE 5TH, FORT SMITH, AR 72903-4067
(479) 274-4100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214593
AR
Other
Enumeration date
01/22/2021
Last updated
12/07/2021
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