MEDICARE: DR. WILLIAM REID CLARK DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	16330	AR

General Provider Information

NPI Number	:	1750024279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM REID CLARK DC

Provider Business Mailing Address
First Line	:	7000 CANTRELL RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72207-4139
Country	:	US
Telephone Number	:	501-786-3969
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 CANTRELL RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72207-4139
Country	:	US
Telephone Number	:	501-786-3969
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2022
Last Update Date	:	04/14/2022

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Directions to “ DR. WILLIAM REID CLARK DC” Practice Location

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