Richard Don Clark, MD

NPI #1053316364 in Marietta, Ohio

Provider Information

NPI Number: 1053316364
Entity Type: Individual
Name: Richard Don Clark, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 15, 2005
Last Updated: Aug 17, 2011

Practice Location

Address: 802 WAYNE ST
Address 2: STE 202
City: Marietta
State: Ohio
ZIP Code: 45750-3300
Phone: (740) 374-4950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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