Ronald Earl Clark

NPI 1003936824 - Counselor - 101YM0800X

NPI Details
NPI 1003936824
Gender Male
Enumeration Date 03/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3846 E DARTMOUTH ST
MESA AZ, 85205-6104, US
Phone (480) 229-1722
Fax
Business Location
3846 E DARTMOUTH ST
MESA AZ, 85205-6104, US
Phone (480) 229-1722
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Arizona
License Number UNLICENSED
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According to our database, Dr. Ronald Earl Clark NPI is 1003936824, taxonomy code is 101YM0800X and license number is UNLICENSED, license state is located at Arizona. Ronald Earl Clark physically located at 3846 E Dartmouth St, Mesa AZ, 85205-6104. NPI Number Ronald Earl Clark has the Individual type.

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1003936824 NPI number is provided on an as is basis without warranty of any kind. 1003936824 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Earl Clark are for informational purposes only.