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Individual

DR. CLARK MCSPARREN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 HARRISBURG PIKE, MEDICAL OFFICE BUILDING 2106 SUITE 1, LANCASTER, PA 17601-2644
(717) 291-5931
(717) 291-5818
Mailing address
2100 HARRISBURG PIKE, MEDICAL OFFICE BUILDING 2106 SUITE 1, LANCASTER, PA 17601-2644
(717) 291-5931
(717) 291-5818

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD027343L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0740659
PA
Enumeration date
12/21/2005
Last updated
07/08/2007
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