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DR. H. DONALD CLARK M.D.

Physicians Pediatrics

Provider NPI: 1720160468

Provider Information:
DR. H. DONALD  CLARK M.D.
Gender: M
Not Sole Proprietor

Practice Location:
1500 E 2ND ST STE 302  RENO, NV 89502-1198 US
Tel: 775-784-7500  Fax: --

Business Mailing Address:
401 W 2ND ST STE 235F  RENO, NV 89503-5353 US
Tel: 775-327-2019  Fax: 775-327-2006

NPI Information:
NPI: 1720160468
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XPhysicians
Pediatrics
NV4702

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208000000X

Type:

Classification:



Definition:



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