Individual
JOSEPH D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81 HILLCREST DR STE 1300, PUNXSUTAWNEY, PA 15767-2605
(814) 938-5910
(814) 938-4525
Mailing address
81 HILLCREST DR STE 1300, PUNXSUTAWNEY, PA 15767-2605
(814) 938-5910
(814) 938-4525
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD055948L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019723350001
—
PA
Enumeration date
01/25/2006
Last updated
02/17/2020
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