| Doctor Name: | DR. PATRICIA ANN CLANCY |
| NPI Number: | 1649228552 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 4863 |
| Business Practice Address: | 436 5th & Ted Stevens Way Kotzebue, AK - 997520043 |
| Business Phone Number: | 9074423321 |
| Business Fax Number: | 9074427250 |
| Mailing Address: | Po Box 43, KOTZEBUE |
| State: | AK |
| Postal Code: | 997520043 |
| Phone Number: | 9074427379 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 09/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4863 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |