DR. Justin James Clark, M.D.

NPI #1215132410 in Jber, Alaska

Provider Information

NPI Number: 1215132410
Entity Type: Individual
Name: DR. Justin James Clark, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Jun 18, 2007
Last Updated: Jun 30, 2014

Practice Location

Address: 5955 ZEAMER AVE
City: Jber
State: Alaska
ZIP Code: 99506-3702
Phone: (907) 580-1243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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