Organization
JOHN M CLARK MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M CLARK M.D. (DOCTOR)
(304) 201-2545
Entity
Organization
Contact information
Practice address
3860 TEAYS VALLEY RD STE 4, HURRICANE, WV 25526-9772
(304) 201-2545
(304) 201-2548
Mailing address
3860 TEAYS VALLEY RD STE 4, HURRICANE, WV 25526-9772
(304) 201-2545
(304) 201-2548
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
WV
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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