Individual
DAVID A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 HAYDEN BRIDGE WAY, SPRINGFIELD, OR 97477-1347
(541) 868-9430
(541) 868-9450
Mailing address
1 HAYDEN BRIDGE WAY, SPRINGFIELD, OR 97477-1347
(541) 868-9450
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
5101017272
MI
2084N0400X
Neurology Physician
Primary
DO156992
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578760278
—
MI
Enumeration date
06/27/2007
Last updated
05/13/2021
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