William B Clark Obstetrics/gynecology
585 New Loudon Rd, Latham, NY 12110-5701


William B Clark is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1235202599. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6800859224. The medical credential is MD. The primary specialty is OBSTETRICS/GYNECOLOGY. The organization is W BRUCE CLARK MD PC. The address is 585 New Loudon Rd, Latham, NY 12110-5701. The zip code is 12110.


William B Clark · 585 New Loudon Rd, Latham, NY 12110-5701

Nation Provider ID 1235202599
PAC ID by PECOS 6800859224
Professional Enrollment ID I20041122000730
Last Name CLARK
First Name WILLIAM
Middle Name B
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1971
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary Specialty W BRUCE CLARK MD PC
Phone Number 5187831472
Group Practice PAC ID 6608839162
Number of Group Practice Members 3
Address 585 NEW LOUDON RD
LATHAM, NY 121105701
Claims Based Hospital Affiliation