Edward C Clark M.D.

NPI 1013917814 - Internal Medicine - 207RN0300X

NPI Details
NPI 1013917814
Gender Male
Enumeration Date 07/22/2005
Last Updated 11/13/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
311 W 24TH ST
SUITE 402
ERIE PA, 16502-2665, US
Phone (814) 453-6687
Fax (814) 456-4676
Business Location
311 W 24TH ST
SUITE 402
ERIE PA, 16502-2665, US
Phone (814) 453-6687
Fax (814) 456-4676
Toxanomy
Taxonomy Code 207RN0300X
License State Pennsylvania
License Number MD055901L
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According to our database, Dr. Edward C Clark M.D. NPI is 1013917814, taxonomy code is 207RN0300X and license number is MD055901L, license state is located at Pennsylvania. Edward C Clark M.D. physically located at 311 W 24th St, Erie PA, 16502-2665. NPI Number Edward C Clark M.D. has the Individual type.

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1013917814 NPI number is provided on an as is basis without warranty of any kind. 1013917814 is maintained by the National Plan & Provider Enumeration System. The contents of Edward C Clark M.D. are for informational purposes only.