Individual
TOR CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
BROWN UNIVERSITY HEALTH SERVICE, BOX 1928, PROVIDENCE, RI 02912
(401) 863-3953
(401) 863-7953
Mailing address
BROWN UNIVERSITY HEALTH SERVICE, BOX 1928, PROVIDENCE, RI 02912-0001
(401) 863-3953
(401) 863-7953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
RIPA00077
RI
Other
Enumeration date
03/19/2007
Last updated
07/25/2018
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