William Clark is a student in an organized health care education training program in Phoenix, AZ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. William Clark NPI is 1184362659. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1805 E GRENADINE RD
PHOENIX, AZ
ZIP 85040-359
Phone: (815) 822-2294
The enumeration date for this NPI number is 5/24/2022 and was last updated on 5/24/2022.