Individual
MEGAN C. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5 ALUMNI DR FL 2, EXETER, NH 03833-2128
(603) 580-7525
(603) 580-7542
Mailing address
7 HOLLAND WAY FL 1, EXETER, NH 03833-2997
(603) 777-1096
(603) 580-7210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13033
NH
208000000X
Pediatrics Physician
13033
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078628
—
NH
Enumeration date
06/01/2006
Last updated
04/03/2018
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