Dallas Layne Clark is a Physical Therapist based in Laketown, WY. Dallas Layne Clark practices in Diamondville, WY and has the professional credentials of PT. The NPI Number for Dallas Layne Clark is 1972693497 and holds a License No. 6293691-2401 (Wyoming).
The current practice location address for Dallas Layne Clark is 20 Adaville Drive, Diamondville, WY and can be reached out via phone at 307-877-1000 and via fax at 307-877-1000.
Identifier | Type | State | Issuer |
---|---|---|---|
2282218 | 01 | WY | FIRST HEALTH PROVIDER NUM |
5586872 | 01 | WY | CCN PROVIDER NUMBER |
313318 | 01 | WY | BLUE CROSS BLUE SHIELD |
11433480 | 01 | WY | CAQH PROVIDER ID |
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