Individual
DR. SHAWN B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 AIRPORT BLVD STE D146, MOBILE, AL 36608-3784
(251) 287-2176
(251) 287-2279
Mailing address
6701 AIRPORT BLVD STE D146, MOBILE, AL 36608-3784
(251) 287-2176
(251) 287-2279
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
23993
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120636
—
AL
Enumeration date
05/23/2005
Last updated
02/17/2017
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