Individual
ALEXANDER M CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 LAWRENCE AVE, POTSDAM, NY 13676-1889
(315) 265-0394
(315) 265-0396
Mailing address
49 LAWRENCE AVE, POTSDAM, NY 13676-1889
(315) 265-0394
(315) 265-0396
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
223227
NY
207X00000X
Orthopaedic Surgery Physician
35934
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35934
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124517
—
AZ
Enumeration date
08/12/2006
Last updated
12/14/2012
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