person
Mr. Phillip Wayne Clark, NURSEPRACTITIONER
Family Nurse Practitioner in Quartzsite, Arizona
NPI 1629471412

Phillip Wayne Clark is a Family Nurse Practitioner based in Saint Louis, AZ and is specialized in Family. Phillip Wayne Clark practices in Quartzsite, AZ and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Phillip Wayne Clark is 1629471412 and holds a License No. 2014034806 (Arizona).

The current practice location address for Phillip Wayne Clark is 150 E. Tyson Rd, Quartzsite, AZ and can be reached out via phone at 928-927-8749 and via fax at 928-927-8748.

Location: 150 E. Tyson Rd, Quartzsite, AZ, 63130-2026
person
Provider Profile Details
NPI Number
1629471412
Provider Name
Phillip Wayne Clark
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
150 E. Tyson Rd, Quartzsite, AZ, 63130-2026
Phone Number
928-927-8749
Fax Number
928-927-8748
Provider Enumeration Date
10/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
150 E. Tyson Rd
City
State
Zip
85359-4618
Phone Number
928-927-8749
Fax Number
928-927-8748
person
Provider Business Mailing Address Details
Address
150 E. Tyson Rd
City
State
Zip
85359-4618
Phone Number
928-927-8749
Fax Number
928-927-8748
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2014034806 (Missouri)
Definition
Definition to come...
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