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ELIZABETH CATHERINE CLARK D.O.

>> Neuromusculoskeletal Medicine & OMM >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1922014182

Individual Registrant:
 ELIZABETH CATHERINE CLARK D.O.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
200 W. HOSPITAL DR  WHITERIVER, AZ 85941 US
Tel: 928-338-4911  Fax: --

Contact information for business:
PO BOX 860  WHITERIVER, AZ 85941-0860 US
Tel: 928-338-4911  Fax: --

Registration Information:
NPI: 1922014182
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N204D00000XAllopathic & Osteopathic Physicians
Neuromusculoskeletal Medicine & OMM
WV1346
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
WV1346

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1780614008AZ05
1871523191AZ05
409757AZ05
1295993376AZ05
1629236716AZ05




HEALTH CARE JOBS AZ - Page 1



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