Individual
DR. STEVEN GLENN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
810 E SUNFLOWER RD, CLEVELAND, MS 38732-2800
(662) 843-3606
Mailing address
425 NORMAN CIR, CLEVELAND, MS 38732-9722
(662) 843-5398
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15955
MS
Other
Enumeration date
10/06/2006
Last updated
11/05/2021
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