Charles A. Clark, Md, PA

NPI #1316184815 in Pine Bluff, Arkansas

Provider Information

NPI Number
1316184815
Entity Type
Organization
Organization Name
Charles A. Clark, Md, PA
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Jan 21, 2009
Last Updated
Mar 4, 2009

Practice Location

Address
1609 W 40TH AVE
Address 2
SUITE 501
ZIP Code
71603-6319
Phone
(870) 534-3449

Authorized Official

Name
DR. CHARLES ALLAN CLARK, M.D.
Title
PRESIDENT
Phone
(870) 534-3449

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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Provider Name
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