Individual
DR. RICHARD C. CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 POINCIANA AVE, MAMOU, LA 70554-2243
(337) 261-5151
Mailing address
PO BOX 120, MAMOU, LA 70554-0120
(337) 261-5151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
023604
LA
Other
Enumeration date
10/05/2005
Last updated
07/23/2007
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