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Contact Information

WILLIAM B CLARK, MD
8331 N DAVIS HWY
PENSACOLA, FL32514
 Phone: 850-505-4700
 Fax: 850-505-4711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for WILLIAM B CLARK · (Male)

NPI Number 1447230354
Status Active
Credentials MD
Entity Individual
Enumeration date 01/18/2006
Last updated 10/19/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME0058920
  • FL License # ME58920
  • FL Medicaid 024627500
  • FL Medicaid 054866900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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