Individual
MR. JOSEPH W CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
927 FRANKLIN ST, HUNTSVILLE, AL 35801
(256) 539-2728
(256) 428-3423
Mailing address
927 FRANKLIN ST, HUNTSVILLE, AL 35801
(256) 539-2728
(256) 428-3423
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
12715
AL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
12715
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008833
—
AL
01
—
0910281
UNITED HEALTHCARE
AL
01
—
200038944
RAILROAD MEDICARE
AL
01
—
4233898
AETNA
AL
01
—
51008833
BCBS
AL
Enumeration date
03/17/2006
Last updated
05/17/2010
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