Individual
DANIELLE L. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, ML 0781, CINCINNATI, OH 45219-2364
(513) 584-4505
(513) 584-0468
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35130404
OH
207R00000X
Internal Medicine Physician
57.024936
OH
208M00000X
Hospitalist Physician
Primary
35.130404
OH
Other
Enumeration date
03/31/2014
Last updated
07/27/2022
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