James G Clark MD

NPI 1093712556 - Emergency Medicine - 207P00000X

NPI Details
NPI 1093712556
Gender Male
Enumeration Date 06/30/2005
Last Updated 05/15/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
315 ISLE OF CAPRI DR
FORT LAUDERDALE FL, 33301-2409, US
Phone (954) 319-0225
Fax
Business Location
315 ISLE OF CAPRI DR
FORT LAUDERDALE FL, 33301-2409, US
Phone (954) 319-0225
Fax
Toxanomy
Taxonomy Code 207P00000X
License State New Mexico
License Number MD2006-0077
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According to our database, Dr. James G Clark MD NPI is 1093712556, taxonomy code is 207P00000X and license number is MD2006-0077, license state is located at New Mexico. James G Clark MD physically located at 315 Isle Of Capri Dr, Fort Lauderdale FL, 33301-2409. NPI Number James G Clark MD has the Individual type.

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1093712556 NPI number is provided on an as is basis without warranty of any kind. 1093712556 is maintained by the National Plan & Provider Enumeration System. The contents of James G Clark MD are for informational purposes only.