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Individual

DR. CANTWELL CLARK V

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
DARTMOUTH-HITCHCOCK CLINIC, 1 MEDICAL CENTER DRIVE, LEBANON, NH 03756
(603) 650-5922
Mailing address
1 MEDICAL CENTER DR, DHMC. DEPARTMENT OF ANESTHESIOLOGY, LEBANON, NH 03756-1000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12598
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011289
VT
05
30201138
NH
Enumeration date
10/06/2006
Last updated
07/27/2011
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