Organization
JOHN M CLARK MD & ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MIRRELL CLARK M.D. (MANAGING MEMBER)
(304) 201-2545
Entity
Organization
Contact information
Practice address
3860 TEAYS VALLEY RD, SUITE 4, HURRICANE, WV 25526-9772
(304) 201-2545
(304) 201-2548
Mailing address
PO BOX 801, HURRICANE, WV 25526
(304) 201-2545
(304) 201-2548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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