Individual
DR. DAVID R CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
531 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
531 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
160944
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110062671A
—
MA
Enumeration date
10/04/2005
Last updated
04/24/2023
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