DR. Charles Edward Clark, MD

NPI #1609912427 in Bristol, Vermont

Provider Information

NPI Number
1609912427
Entity Type
Individual
Name
DR. Charles Edward Clark, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Jan 29, 2007
Last Updated
Sep 26, 2013

Practice Location

Address
74 MUNSILL AVE
Address 2
SUITE 100
State
Vermont
ZIP Code
05443-1032
Phone
(802) 453-5028

Specialties & Taxonomy Codes

Specialty
Family Medicine

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