Cristina M Clark

NPI 1588807135 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1588807135
Gender Female
Enumeration Date 04/13/2009
Last Updated 02/25/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
105 SKYLINE DR
RUSSELLVILLE AR, 72801-3363, US
Phone (479) 968-2345
Fax (479) 890-7125
Business Location
105 SKYLINE DR
RUSSELLVILLE AR, 72801-3363, US
Phone (479) 968-2345
Fax (479) 890-7125
Toxanomy
Taxonomy Code 207V00000X
License State Arkansas
License Number E-7931
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According to our database, Cristina M Clark NPI is 1588807135, taxonomy code is 207V00000X and license number is E-7931, license state is located at Arkansas. Cristina M Clark physically located at 105 Skyline Dr, Russellville AR, 72801-3363. NPI Number Cristina M Clark has the Individual type.

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1588807135 NPI number is provided on an as is basis without warranty of any kind. 1588807135 is maintained by the National Plan & Provider Enumeration System. The contents of Cristina M Clark are for informational purposes only.