Individual
CHRISTOPHER B. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5360
(740) 446-5486
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5360
(740) 446-5486
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
21461
WV
207K00000X
Allergy & Immunology Physician
Primary
35-08-2565
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000181421
OH MEDICAID UNISON
OH
05
—
1810204000
—
WV
01
—
2434771
OH MEDICAID MOLINA
OH
05
—
2434771
—
OH
01
—
310917085113
OH MEDICAID CARESOURCE
OH
Enumeration date
05/20/2006
Last updated
01/21/2021
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