Dustin Michael Clark, M.D.

NPI #1285831644 in Greeneville, Tennessee

Provider Information

NPI Number: 1285831644
Entity Type: Individual
Name: Dustin Michael Clark, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Jun 29, 2007
Last Updated: Jul 31, 2017

Practice Location

Address: 1420 TUSCULUM BLVD
Address 2: LAUGHLIN MEMORIAL HOSPITAL
City: Greeneville
State: Tennessee
ZIP Code: 37745
Phone: (423) 787-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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Organizations

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