Clark, Gary W.
Clark, Gary W. is an individual health care provider with primary practice located at Madigan Army Medical Center 9040 Jackson Ave , Tacoma WA 98431-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Gary W. can be contacted via phone (253) 968-2601.Contact Information
Primary practice address
Madigan Army Medical Center 9040 Jackson Ave
Tacoma WA 98431-0001
Phone: (253) 968-2601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 181373-1205 | Utah |
Profile Details
| NPI number | 1205816543 |
|---|---|
| LBN Legal business name | Clark, Gary W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jun 1st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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