Organization
MICHAEL S. CLARKE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SYDENHAM CLARKE MD (PATHOLOGIST)
(870) 414-4073
Entity
Organization
Contact information
Practice address
620 N MAIN ST, HARRISON, AR 72601-2911
(870) 414-4073
Mailing address
PO BOX 3317, HARRISON, AR 72602-3317
(870) 414-4073
(870) 414-4984
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-11363
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-11363
AR MEDICAL LICENSE
AR
Enumeration date
07/16/2018
Last updated
10/26/2018
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