Individual
JOSEPH C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3471
(814) 375-3472
Mailing address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 214-5681
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS011976
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101050654
—
PA
Enumeration date
03/18/2006
Last updated
12/31/2018
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