Edward Joseph Clark III M.D.

NPI 1053474080 - Radiology - 2085R0202X

NPI Details
NPI 1053474080
Gender Male
Enumeration Date 12/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1705 S. TARBORO ST
WILSON NC, 27893, US
Phone (252) 399-8928
Fax (252) 399-7313
Business Location
PO BOX 12156
NEWPORT NEWS VA, 23612-2156, US
Phone (757) 867-6101
Fax (757) 867-6588
Toxanomy
Taxonomy Code 2085R0202X
License State
License Number
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According to our database, Edward Joseph Clark III M.D. NPI is 1053474080, taxonomy code is 2085R0202X Edward Joseph Clark III M.D. physically located at 1705 S. Tarboro St, Wilson NC, 27893. NPI Number Edward Joseph Clark III M.D. has the Individual type.

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1053474080 NPI number is provided on an as is basis without warranty of any kind. 1053474080 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Joseph Clark III M.D. are for informational purposes only.