Dr. Stacey K Clark
Emergency Physician
16528 E Desmet Ct
Spokane Valley
, Washington 99216-3522
Dr. Stacey K Clark
Emergency Physician
16528 E Desmet Ct
Spokane Valley
, Washington 99216-3522
(509) 227-7070
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Stacey K Clark
- Po Box 421
- Liberty Lake, WA
- Zip : 99019-0421
- Fax : (509) 227-7070
- Phone : (509) 747-2455
Second Address
- Dr. Stacey K Clark
- 16528 E Desmet Ct
- Spokane Valley, WA
- Zip : 99216-3522
- Fax : (509) 227-7070
- Phone : (509) 944-8910
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What type of doctor is Dr. Stacey K Clark
In what state does Dr. Stacey K Clark practice in?
Where is Dr. Stacey K Clark ’s practice located?
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Is Dr. Stacey K Clark a sole practitioner?
Is Dr. Stacey K Clark accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 4301092664 | MI |
| Y | 207P00000X | Emergency Physician | MD60733583 | WA |
National Provider Identifier
| NPI | 1013170869 |
|---|---|
| Provider Name | Dr. Stacey K Clark |
| First Address | Liberty Lake, WA 99019-0421 |
| Second Address | Spokane Valley, WA 99216-3522 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2008 |
| Last Update Date | 10/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.