Organization
ADRA ETHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARWIN CLARK MD (PRESIDENT)
(936) 637-6415
Entity
Organization
Contact information
Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 637-6415
Mailing address
10567 SAWMILL PKWY, SUITE 100, POWELL, OH 43065-6667
(614) 210-1885
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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