John M Clark MD

NPI #1013307602 in Hurricane, West Virginia

Provider Information

NPI Number: 1013307602
Entity Type: Organization
Organization Name: John M Clark MD
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Feb 3, 2015
Last Updated: Feb 3, 2015

Practice Location

Address: 3860 TEAYS VALLEY RD STE 4
City: Hurricane
State: West Virginia
ZIP Code: 25526-9772
Phone: (304) 201-2545

Authorized Official

Name: DR. JOHN M CLARK, M.D.
Title: DOCTOR
Phone: (304) 201-2545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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