| NPI | 1285240036 |
|---|---|
| Other Name | BEAR CLARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61135106) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: WY 46477) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2021-03-26 |