Individual
DR. LOUIS PHILLIP CLARK JR.
Active
Individual
DR. LOUIS PHILLIP CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27779
NC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
27779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22718
BCBS INDIVIDUAL ID NUMBER
NC
05
—
8922718
—
NC
Enumeration date
02/15/2006
Last updated
10/05/2012
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