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Individual
DR. MA.BELEN S. CLARK
Active
Individual
DR. MA.BELEN S. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-104581
IL
207Q00000X
Family Medicine Physician
2004025497
MO
207Q00000X
Family Medicine Physician
Primary
A100202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209071109
—
MO
01
—
EG9762
MEDICARE PTAN
—
Enumeration date
02/28/2006
Last updated
05/10/2024
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