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Individual

DANIEL CLARK FILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2011-01259
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5918162
NC
Enumeration date
01/04/2007
Last updated
12/19/2012
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