Individual
DR. GARY WAYNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
125 CANTON RD NW, CARROLLTON, OH 44615-1009
(330) 627-7641
(330) 627-5796
Mailing address
82 5TH ST NE, CARROLLTON, OH 44615-1214
(330) 627-3494
(330) 627-3494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011418
OH
207Q00000X
Family Medicine Physician
DO785
TN
Other
Enumeration date
01/25/2006
Last updated
04/24/2015
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