Individual
RICHARD MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
515 READ ST, EVANSVILLE, IN 47710-1739
(812) 450-3363
Mailing address
515 READ ST, EVANSVILLE, IN 47710-1739
(812) 450-3363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11015058
IN
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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