Individual
SHAWN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2094 E STATE ST STE A, SALEM, OH 44460-4409
(330) 337-2868
(330) 337-2875
Mailing address
2094 E STATE ST STE A, SALEM, OH 44460-4409
(330) 337-2868
(330) 337-2875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0000000000000
OH
208600000X
Surgery Physician
Primary
34-012867
OH
Other
Enumeration date
02/28/2014
Last updated
11/30/2022
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