DR. Diana L Clark, M.D.

NPI #1225039860 in Greenwood, Indiana

Provider Information

NPI Number: 1225039860
Entity Type: Individual
Name: DR. Diana L Clark, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 4, 2005
Last Updated: Jul 2, 2014

Practice Location

Address: 701 E COUNTY LINE RD STE 301
City: Greenwood
State: Indiana
ZIP Code: 46143-1071
Phone: (317) 883-4736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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