John W. Clark PA

NPI #1275904435 in Bangor, Maine

Provider Information

NPI Number: 1275904435
Entity Type: Organization
Organization Name: John W. Clark PA
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Oct 14, 2015
Last Updated: Jan 15, 2025

Practice Location

Address: 753 STILLWATER AVE
City: Bangor
State: Maine
ZIP Code: 04401-3633
Phone: (207) 990-5887

Authorized Official

Name: DR. JOHN W CLARK, DDS
Title: PRESIDENT
Phone: (207) 564-8197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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