Individual
DR. CHARLES EDWARD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
74 MUNSILL AVE, SUITE 100, BRISTOL, VT 05443-1032
(802) 453-5028
(802) 453-6105
Mailing address
74 MUNSILL AVE, SUITE 100, BRISTOL, VT 05443-1032
(802) 453-5028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420006979
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VT5630
—
VT
Enumeration date
01/29/2007
Last updated
09/26/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us