Individual
ROBERT JAMIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SIVLEY RD, HUNTSVILLE, AL 35801-4421
(256) 539-9471
(256) 539-9472
Mailing address
2006 FRANKLIN ST. STE 301, HUNTSVILLE, AL 35801-4537
(256) 539-9471
(256) 539-9472
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00018534
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000024084
—
AL
05
—
009976005
—
AL
01
—
4044991
BCBS TN
TN
01
—
51024084
HH LOCATIONS
AL
Enumeration date
01/14/2006
Last updated
12/19/2014
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