NPI Search for Physicians and Health Care Providers
ELIZABETH CATHERINE CLARK D.O.
>> Neuromusculoskeletal Medicine & OMM >> Allopathic & Osteopathic PhysiciansRegistrant 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:
Primary | Code | Category/Description | State | License Number |
---|
N | 204D00000X | Allopathic & Osteopathic Physicians Neuromusculoskeletal Medicine & OMM
| WV | 1346 |
Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | WV | 1346 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 1780614008 | AZ | 05 |
| 1871523191 | AZ | 05 |
| 409757 | AZ | 05 |
| 1295993376 | AZ | 05 |
| 1629236716 | AZ | 05 |
HEALTH CARE JOBS AZ - Page 1