Richard L Clark MD

NPI 1194833327 - Surgery - 208600000X

NPI Details
NPI 1194833327
Gender Male
Enumeration Date 08/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
18 GLENWOOD DR
SHELBY OH, 44875, US
Phone (419) 543-1298
Fax
Business Location
PO BOX 37
ONTARIO OH, 44862, US
Phone (419) 543-1298
Fax
Toxanomy
Taxonomy Code 208600000X
License State Ohio
License Number 35049026
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According to our database, Richard L Clark MD NPI is 1194833327, taxonomy code is 208600000X and license number is 35049026, license state is located at Ohio. Richard L Clark MD physically located at 18 Glenwood Dr, Shelby OH, 44875. NPI Number Richard L Clark MD has the Individual type.

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1194833327 NPI number is provided on an as is basis without warranty of any kind. 1194833327 is maintained by the National Plan & Provider Enumeration System. The contents of Richard L Clark MD are for informational purposes only.