Organization
THRUSH & CLARK ALLERGISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P CLARK II MD (MANAGING PHYSICIAN)
(304) 344-2459
Entity
Organization
Contact information
Practice address
3411A NOYES AVENUE SE, CHARLESTON, WV 25304
(304) 344-2459
(304) 345-1336
Mailing address
3411A NOYES AVENUE SE, CHARLESTON, WV 25304
(304) 344-2459
(304) 345-1336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11974
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006069
—
WV
Enumeration date
10/17/2006
Last updated
10/29/2018
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