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Organization
CHARLES A. CLARK, MD, PA
Active
Organization
CHARLES A. CLARK, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ALLAN CLARK M.D. (PRESIDENT)
(870) 534-3449
Entity
Organization
Contact information
Practice address
1609 W 40TH AVE, SUITE 501, PINE BLUFF, AR 71603-6319
(870) 534-3449
(870) 535-3973
Mailing address
1609 W 40TH AVE, SUITE 501, PINE BLUFF, AR 71603-6319
(870) 534-3449
(870) 535-3973
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/21/2009
Last updated
03/04/2009
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