WILLIAM CLARK

PRESCOTT, AZ
NPI1184362659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: AZ  9297)
Enumeration Date2022-05-24
Last Update Date2023-12-05
Business Address
WILLIAM CLARK
1042 WILLOW CREEK RD
PRESCOTT, AZ 86301-1673
Phone number: 928-379-0838
Mailing Address
WILLIAM CLARK
1042 WILLOW CREEK RD
PRESCOTT, AZ 86301-1673
Phone number: 928-379-0838
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