DR. Charles Thomas Clark, D.O.

NPI #1568434397 in Athens, Ohio

Provider Information

NPI Number: 1568434397
Entity Type: Individual
Name: DR. Charles Thomas Clark, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Feb 6, 2006
Last Updated: May 31, 2011

Practice Location

Address: 313 PARKS HALL
City: Athens
State: Ohio
ZIP Code: 45701
Phone: (740) 593-2444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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