Individual
THOMAS W CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
918 RUSSELL DR, LEBANON, PA 17042-7485
(717) 273-3521
(717) 273-5172
Mailing address
918 RUSSELL DR, LEBANON, PA 17042-7485
(717) 273-3521
(717) 273-5172
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003084L
PA
Other
Enumeration date
08/09/2005
Last updated
03/07/2023
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