Individual provider · Type 1 NPI

Bishod Q. Clark

Student in an Organized Health Care Education/Training Program · Pensacola, FL

NPI number 1659903110 Active

Practice location

10080 Hillview Dr Apt 153-D
Pensacola, FL 32514-5499

Call (850) 501-5002 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659903110

Bishod Q. Clark's National Provider Identifier is 1659903110, issued on Feb 12, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pensacola, FL. The record was last updated on Feb 12, 2020.