Individual
DR. GORDON H CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2314 S RANGE AVE, DENHAM SPRINGS, LA 70726-5216
(225) 480-4080
(877) 485-4275
Mailing address
2314 S RANGE AVE, DENHAM SPRINGS, LA 70726-5216
(225) 480-4080
(877) 485-4275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19473
MS
207Q00000X
Family Medicine Physician
DR.0059785
CO
207Q00000X
Family Medicine Physician
Primary
MD 203009
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1066656
—
LA
Enumeration date
08/18/2006
Last updated
03/26/2026
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