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Individual
MR. STEVEN L CLARK
Active
Individual
MR. STEVEN L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
172793-1205
UT
207VM0101X
Maternal & Fetal Medicine Physician
Primary
Q2648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172793-1205
MEDICAL LICENSE
UT
01
—
M-9194
MEDICAL LICENSE
ID
Enumeration date
09/13/2005
Last updated
08/28/2024
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