Ron Clark M.D.

NPI 1073511598 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1073511598
Gender Male
Enumeration Date 07/08/2005
Last Updated 06/09/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
211 N EDDY ST
SOUTH BEND IN, 46617-2808, US
Phone (574) 237-9294
Fax (574) 237-9259
Business Location
211 N EDDY ST
SOUTH BEND IN, 46617-2808, US
Phone (574) 237-9294
Fax (574) 237-9259
Toxanomy
Taxonomy Code 207X00000X
License State Indiana
License Number 01051209A
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According to our database, Dr. Ron Clark M.D. NPI is 1073511598, taxonomy code is 207X00000X and license number is 01051209A, license state is located at Indiana. Ron Clark M.D. physically located at 211 N Eddy St, South Bend IN, 46617-2808. NPI Number Ron Clark M.D. has the Individual type.

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1073511598 NPI number is provided on an as is basis without warranty of any kind. 1073511598 is maintained by the National Plan & Provider Enumeration System. The contents of Ron Clark M.D. are for informational purposes only.