Individual
JAMES S CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 424-1000
Mailing address
PO BOX 1269, 1223 COMMERCE DR STE 1, MOUNTAIN HOME, AR 72653
(870) 424-7070
(870) 424-6616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C5041
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101028001
—
AR
01
—
770079501
BREASTCARE
AR
Enumeration date
02/17/2006
Last updated
07/13/2009
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