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William Clark
Medical Physician Assistant in Prescott, Arizona
NPI 1184362659

William Clark is a Medical Physician Assistant based in Prescott, AZ and is specialized in Medical. William Clark practices in Prescott, AZ. The NPI Number for William Clark is 1184362659 and holds a License No. 9297 (Arizona).

The current practice location address for William Clark is 1042 Willow Creek Rd, Prescott, AZ and can be reached out via phone at 928-379-0838.

Location: 1042 Willow Creek Rd, Prescott, AZ, 86301-1673
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184362659
Provider Name
William Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
1042 Willow Creek Rd, Prescott, AZ, 86301-1673
Phone Number
928-379-0838
Fax Number
Provider Enumeration Date
05/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1042 Willow Creek Rd
City
Prescott
State
Arizona
Zip
86301-1673
Phone Number
928-379-0838
Fax Number
person
Provider Business Mailing Address Details
Address
1042 Willow Creek Rd
City
Prescott
State
Arizona
Zip
86301-1673
Phone Number
928-379-0838
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
9297 (Arizona)
Definition
Definition to come...
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