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Individual

DR. ASHLEY WILLIAMS CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2520 WALES AVE NW # 220, MASSILLON, OH 44646-2310
(330) 880-5671
(330) 880-5781
Mailing address
2520 WALES AVE NW # 220, MASSILLON, OH 44646-2310
(330) 880-5671
(330) 880-5781

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34007798C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000375429
UNICARE PROVIDER #
OH
01
1062
SUMMACARE PROVIDER #
OH
01
200830551029
CARESOURCE PROVIDER #
OH
05
2622344
OH
01
733389
BUCKEYE HEALTH PLAN
OH
Enumeration date
06/30/2006
Last updated
05/16/2011
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