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Individual

BRADLY D CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3495 HACKS CROSS RD, MEMPHIS, TN 38125-8803
(901) 526-7444
(901) 271-2618
Mailing address
3495 HACKS CROSS RD, MEMPHIS, TN 38125-8803
(901) 526-7444
(901) 271-2618

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
231963
NY
207ZP0101X
Anatomic Pathology Physician
Primary
MD47889
TN

Other

Enumeration date
01/18/2006
Last updated
05/12/2016
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