Individual
DR. CHRISTIAN CLARK
Active
Individual
DR. CHRISTIAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2008-01456
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730007
NSC #
NC
05
—
1053381046
—
NC
05
—
N0145A
—
SC
Enumeration date
01/24/2006
Last updated
01/11/2018
Update your record
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