Harrison, Clark

Harrison, Clark is an individual health care provider with primary practice located at 880 Ryland St , Reno NV 89502-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Harrison, Clark can be contacted via phone (775) 329-4600.

Contact Information

Primary practice address
880 Ryland St Reno NV 89502-1603
Phone: (775) 329-4600
Fax: (775) 333-2969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 6505 Nevada

Profile Details

NPI number 1679559496
LBN Legal business name Harrison, Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated May 7th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679559496 NPPES
Nevada MEDICAID 2016237

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