Individual
REBECCA ADAIR CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3308 TULANE AVE, NEW ORLEANS, LA 70119-7100
(504) 903-7302
(504) 903-5313
Mailing address
3308 TULANE AVE, NEW ORLEANS, LA 70119-7100
(504) 982-0628
(504) 903-5313
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD.018089
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125805
—
MS
05
—
1392847
—
LA
Enumeration date
07/20/2005
Last updated
02/27/2020
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