Jerry A Clark, MD, CMD
NPI #1346280005 in Beavercreek, Ohio
Provider Information
- NPI Number
- 1346280005
- Entity Type
- Individual
- Name
- Jerry A Clark, MD, CMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- MD, CMD
- Enumeration Date
- Jun 8, 2006
- Last Updated
- Dec 10, 2013
Practice Location
- Address
- 722 N FAIRFIELD RD
- City
- Beavercreek
- State
- Ohio
- ZIP Code
- 45434-5918
- Phone
- (937) 208-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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