DR. Charles Robert Clark, M.D.

NPI #1164642948 in Hernando, Florida

Provider Information

NPI Number: 1164642948
Entity Type: Individual
Name: DR. Charles Robert Clark, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 26, 2007
Last Updated: Jan 2, 2008

Practice Location

Address: 1725 N SKY GLEN PATH
City: Hernando
State: Florida
ZIP Code: 34442-6187
Phone: (352) 270-8425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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