Individual
MR. DAVID E. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
4132 SIERRA PARK TER, DAYTON, OH 45440-3324
(937) 603-1021
Mailing address
4132 SIERRA PARK TER, DAYTON, OH 45440-3324
(937) 603-1021
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.6277
OH
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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