Individual
DR. NEIL ROSS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH, LANCASTER, PA 17603-2964
(717) 544-8300
(717) 544-8265
Mailing address
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH, LANCASTER, PA 17603-2964
(717) 544-8300
(717) 544-8265
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD036920E
PA
207UN0901X
Nuclear Cardiology Physician
MD036920
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010946100008
—
PA
Enumeration date
03/07/2006
Last updated
05/22/2017
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