Individual
DOUGLAS A. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 860, LITTLE ROCK, AR 72205-6375
(501) 975-7455
(501) 975-3631
Mailing address
4261 STOCKTON DRIVE SUITE LL100, NORTH LITTLE ROCK, AR 72117-2962
(501) 975-7456
(501) 978-1822
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197623795
—
AR
Enumeration date
10/25/2005
Last updated
05/06/2025
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