Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ANN CLARK
Active Sole ProprietorMARY ANN CLARK is a Clinic/Center healthcare provider located in FORT HUACHUCA, Arizona. NPI 1881126894 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · FORT HUACHUCA, AZ
Registration Details
- NPI Number
- 1881126894
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 29, 2017 (9.3879789285374 yrs)
- Last Updated
- Mar 29, 2017
- License
-
1-125268 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2240 E WINROW AVEFORT HUACHUCA, AZ, 85613Browse AZ providers · Browse ZIP 85613
- Phone
- 5205333533
- Primary Specialty
-
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.