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Individual

DR. CLARK STALLINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4924 CAMPBELL BLVD STE 200, NOTTINGHAM, MD 21236-5914
(443) 442-2300
Mailing address
4924 CAMPBELL BLVD STE 200, BALTIMORE, MD 21236-5914
(443) 442-2300

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0096610
MD
207R00000X
Internal Medicine Physician
D96610
MD
390200000X
Student in an Organized Health Care Education/Training Program
MT220667
PA

Other

Enumeration date
05/27/2020
Last updated
06/22/2023
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