Individual provider · Type 1 NPI

William Clark

Military Health Care Provider · Fort Leonard Wood, MO

NPI number 1619650439 Active

Practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Call (703) 309-5012 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1619650439

William Clark's National Provider Identifier is 1619650439, issued on Aug 9, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Aug 9, 2023.