Charles E Clark IV, M.D.

NPI #1194745851 in Salem, Virginia

Provider Information

NPI Number: 1194745851
Entity Type: Individual
Name: Charles E Clark IV, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Jul 19, 2006
Last Updated: Feb 14, 2008

Practice Location

Address: 1900 ELECTRIC RD
City: Salem
State: Virginia
ZIP Code: 24153-7474
Phone: (540) 772-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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