Individual
MATTHEW GILL CLARK
Active
Individual
MATTHEW GILL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.37170
AL
2080P0202X
Pediatric Cardiology Physician
MD.37170
AL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD.37170
AL
Other
Enumeration date
06/28/2011
Last updated
10/07/2020
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