NPI 1093945198
Bryan Michael Clarke, IDC
Practice location
- Address
- 6000 W Highway 98, Pensacola, FL 32512
- Phone
- (850) 505-6601
- Mailing address
- 6000 W Highway 98, Pensacola, FL 32512-0001
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1093945198
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jul 2009
- Record last updated
- 25 May 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.