IndividualActive
William Clark
NPI 1619650439 · Military Health Care Provider · Fort Leonard Wood, MO
Provider details
- NPI number
- 1619650439
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone: (703) 309-5012
Approximate (ZIP-level) locationGet directions
Mailing address
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Registry dates
- Enumerated
- 2023-08-09
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.