Individual
DR. JUSTIN JAMES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-1243
Mailing address
5757 GREECE DR, ANCHORAGE, AK 99516-6216
(808) 387-4441
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7555
AK
Other
Enumeration date
06/18/2007
Last updated
06/30/2014
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