Individual
MR. ERIC D CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8244 E US HIGHWAY 36, SUITE 1100, AVON, IN 46123-9575
(317) 272-7500
(317) 272-7515
Mailing address
8244 E US HIGHWAY 36, SUITE 1100, AVON, IN 46123-9575
(317) 272-7500
(317) 272-7515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01022701
IN
Other
Enumeration date
07/15/2005
Last updated
07/08/2007
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