Individual
JOSHUA A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11808 HIGHWAY 71 S, FORT SMITH, AR 72916-9378
(479) 434-6140
(479) 434-6144
Mailing address
11808 HIGHWAY 71 S, FORT SMITH, AR 72916-9378
(479) 434-6140
(479) 434-6144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-5920
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200231900A
—
OK
01
—
440163301
ARKANSAS MEDICAID TEMP. R
AR
Enumeration date
07/18/2007
Last updated
08/08/2022
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