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WILLIAM CLARK
NPI 1619650439
Military Health Care Provider in Fort Leonard Wood, MO

Active since August 09, 2023
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473(703) 309-5012 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About William Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM CLARK (NPI 1619650439) is an individual military health care provider provider in Fort Leonard Wood, Missouri and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1619650439
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameWILLIAM CLARK
Location Address4430 MISSOURI AVEFort Leonard Wood, MO 65473-9098
Mailing Address4430 Missouri AveFort Leonard Wood, MO 65473-9098
Phone(703) 309-5012
Sole ProprietorNo
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1619650439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
4430 MISSOURI AVE, Fort Leonard Wood, MO 65473
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JON-MARC THIBODEAU PA-C
Physician Assistant
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
DR. DANIEL A GOOD PHD
Psychologist (Clinical)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
MRS. TERRY L. BRUNO F.N.P.
Nurse Practitioner
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417
DR. SEAN ELIOT SCOTT MD
Emergency Medicine
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417
NANCY L GRANDGEORGE AUD
Audiologist
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-9500
ERIC BUNNELL AUD, CCC-A
Audiologist
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
ERICA L ASBELL LMSW
Social Worker (Clinical)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0522
PATRICIA ANH THU VU MD, PHD
Preventive Medicine (Public Health & General Preventive Medicine)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Clark's NPI number?

The NPI number for William Clark is 1619650439. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is William Clark located?

William Clark practices at 4430 Missouri Ave, Fort Leonard Wood, MO 65473. The listed phone number is (703) 309-5012.

What is William Clark's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for William Clark was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.