Individual
STEPHEN FOREST CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 MANNING DR SW, SUITE D101, HUNTSVILLE, AL 35801-4341
(256) 533-6070
(256) 533-9374
Mailing address
115 MANNING DR SW, SUITE D101, HUNTSVILLE, AL 35801-4341
(256) 533-6070
(256) 533-9374
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
00026522
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051555819
—
AL
Enumeration date
05/16/2006
Last updated
04/04/2022
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