Individual
STANLEY D CLARKE
Active
Individual
STANLEY D CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
00019049
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009973900
—
AL
01
—
051504899
AL BCBS
AL
01
—
051504900
AL BCBS
AL
05
—
051550973
—
AL
05
—
103086
—
AL
05
—
103413
—
AL
01
—
515-45255
BCBS AL
AL
01
—
515-45256
BCBS AL
AL
05
—
529909740
—
AL
Enumeration date
05/27/2005
Last updated
05/08/2012
Update your record
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