Stacey Leigh Clark MD

NPI 1184808511 - Otolaryngology - 207YP0228X

NPI Details
NPI 1184808511
Gender Female
Enumeration Date 12/20/2007
Last Updated 01/30/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
3705 MEDICAL PKWY
SUITE 200
AUSTIN TX, 78705-1019, US
Phone (512) 324-2720
Fax
Business Location
3705 MEDICAL PKWY
SUITE 200
AUSTIN TX, 78705-1019, US
Phone (512) 324-2720
Fax
Toxanomy
Taxonomy Code 207YP0228X
License State Texas
License Number N9190
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According to our database, Dr. Stacey Leigh Clark MD NPI is 1184808511, taxonomy code is 207YP0228X and license number is N9190, license state is located at Texas. Stacey Leigh Clark MD physically located at 3705 Medical Pkwy, Austin TX, 78705-1019. NPI Number Stacey Leigh Clark MD has the Individual type.

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1184808511 NPI number is provided on an as is basis without warranty of any kind. 1184808511 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Leigh Clark MD are for informational purposes only.