Individual
DR. TERRY L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
R-3194
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080101199
RR MEDICARE
—
05
—
111575001
—
AR
Enumeration date
07/03/2006
Last updated
08/28/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up