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Dr. Henry Vondell Clark, MD
Family Medicine Physician in Tacoma, Washington
NPI 1790898450

Henry Vondell Clark is a Family Medicine Physician based in Tacoma, WA. Henry Vondell Clark practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Henry Vondell Clark is 1790898450 and holds a License No. 9800216 (Washington).

The current practice location address for Henry Vondell Clark is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-2252.

Location: 9040 Jackson Ave, Tacoma, WA, 98431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790898450
Provider Name
Henry Vondell Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 98431
Phone Number
253-968-2252
Fax Number
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11521 01 NC BCBS PROVIDER NUMBER
1790898450 05 NC
9800216 01 NC LICENSE - NC
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-9361
Phone Number
253-968-2252
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-9361
Phone Number
253-968-2252
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
9800216 (North Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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