DR. John Glenn Clark

NPI #1164625653 in Bath, Maine

Provider Information

NPI Number: 1164625653
Entity Type: Individual
Name: DR. John Glenn Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jun 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 111 WHISKEAG RD
City: Bath
State: Maine
ZIP Code: 04530-4127
Phone: (909) 435-0066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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