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Individual
DR. CLARK STALLINGS
Active
Individual
DR. CLARK STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0096610
MD
207R00000X
Internal Medicine Physician
D96610
MD
390200000X
Student in an Organized Health Care Education/Training Program
MT220667
PA
Other
Enumeration date
05/27/2020
Last updated
06/22/2023
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