DR. Jason Craig Clark, M.D.

NPI #1811075856 in Moline, Illinois

Provider Information

NPI Number: 1811075856
Entity Type: Individual
Name: DR. Jason Craig Clark, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthopaedic Surgery
Credential: M.D.
Enumeration Date: Nov 1, 2006
Last Updated: Dec 6, 2010

Practice Location

Address: 520 VALLEY VIEW DR
City: Moline
State: Illinois
ZIP Code: 61265-6194
Phone: (309) 762-3621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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