Individual provider · NPI-1

William R Clark II

Urology · Anchorage, AK

NPI number1073567079
StatusActive
Last updated in NPPESNov 11, 2021

Details

NPI
1073567079
Entity type
Individual (NPI-1)
Name
William R Clark II
Sex
Male
Sole proprietor
No
Enumeration date
May 22, 2006
Certification date
Nov 11, 2021
Last updated
Nov 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X UrologyMD61117110WAYes
208800000X UrologyAK1625AK

Practice location

188 W Northern Lights Blvd
Suite 800
Anchorage, AK 99503-3902

Phone 907-276-2803 · Fax 907-278-8052

Mailing address

188 W Northern Lights Blvd
Suite 800
Anchorage, AK 99503-3902

Phone 907-276-2803 · Fax 907-278-8052

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Urology providers in Anchorage, AK