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Individual
DANIEL EUGENE CLARK
Active
Individual
DANIEL EUGENE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52463
TN
207R00000X
Internal Medicine Physician
A180024
CA
207RA0002X
Adult Congenital Heart Disease Physician
Primary
A180024
CA
207RC0000X
Cardiovascular Disease Physician
A180024
CA
Other
Enumeration date
05/14/2013
Last updated
04/20/2024
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