Charles H Clark JR. M.D.

NPI 1881833697 - Surgery - 208600000X

NPI Details
NPI 1881833697
Gender Male
Enumeration Date 02/18/2009
Last Updated 02/18/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
910 BLADENSBURG RD NE
WASHINGTON DC, 20002-3930, US
Phone (202) 396-9480
Fax (202) 396-6506
Business Location
910 BLADENSBURG RD NE
WASHINGTON DC, 20002-3930, US
Phone (202) 396-9480
Fax (202) 396-6506
Toxanomy
Taxonomy Code 208600000X
License State DO Columbia
License Number MD15603
Remove 1881833697 NPI Number
 

According to our database, Dr. Charles H Clark JR. M.D. NPI is 1881833697, taxonomy code is 208600000X and license number is MD15603, license state is located at DO Columbia. Charles H Clark JR. M.D. physically located at 910 Bladensburg Rd Ne, Washington DC, 20002-3930. NPI Number Charles H Clark JR. M.D. has the Individual type.

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1881833697 NPI number is provided on an as is basis without warranty of any kind. 1881833697 is maintained by the National Plan & Provider Enumeration System. The contents of Charles H Clark JR. M.D. are for informational purposes only.