Search › Washington › 207P00000X
Stacey Clark, M.D
NPI 1013170869 · on the registry since 2008
Practice
- Address
- 16528 E Desmet Ct
Spokane Valley, WA 99216 - Phone
- (509) 944-8910
- Fax
- (509) 227-7070
- Organisation at this address
- Providence Surgery And Procedure Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 86
Additional practice sites
- 835 Se Bishop Blvd, Pullman, WA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
- Licence states on file
- MI, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington