Individual
MRS. EDWINA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2199
(814) 723-3300
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 730-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD470063
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/05/2015
Last updated
03/02/2023
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