# CHARLES A. CLARK, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316184815
- **Authorized official:** DR. CHARLES ALLAN CLARK M.D. (PRESIDENT)
- **Authorized official phone:** (870) 534-3449

## Contact information

- **Practice address:** 1609 W 40TH AVE, SUITE 501, PINE BLUFF, AR 71603-6319
- **Practice address phone:** (870) 534-3449
- **Practice address fax:** (870) 535-3973
- **Mailing address:** 1609 W 40TH AVE, SUITE 501, PINE BLUFF, AR 71603-6319
- **Mailing address phone:** (870) 534-3449
- **Mailing address fax:** (870) 535-3973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 03/04/2009