Organization
CHARLES A. CLARK, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ALLAN CLARK M.D. (PRESIDENT)
(870) 534-3449
Entity
Organization
Contact information
Practice address
1609 W 40TH AVE, SUITE 501, PINE BLUFF, AR 71603-6319
(870) 534-3449
(870) 535-3973
Mailing address
1609 W 40TH AVE, SUITE 501, PINE BLUFF, AR 71603-6319
(870) 534-3449
(870) 535-3973
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/21/2009
Last updated
03/04/2009
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