Individual
DAVID CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1311 FORT STREET, BARLING, AR 72923
(479) 452-5040
Mailing address
PO BOX 1311, BARLING, AR 72923
(479) 452-5040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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