Individual
DR. CLARK DALE GADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1179 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 333-5400
(352) 333-5404
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4582
(352) 373-6338
(352) 373-6144
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0048155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043860000
—
FL
Enumeration date
07/10/2006
Last updated
12/09/2009
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