CLARK B WYSONG

GLENDALE, AZ
NPI1861469165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  25168)
Enumeration Date2006-03-06
Last Update Date2013-01-10
Business Address
-- CLARK B WYSONG MD
19875 N 51ST AVE
GLENDALE, AZ 85308-5114
Phone number: 623-581-8998
Mailing Address
-- CLARK B WYSONG MD
19875 N 51ST AVE
GLENDALE, AZ 85308-5114
Phone number: 623-581-8998
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