Individual
DR. RODNEY LEE CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 E JOHNSON AVE, JONESBORO, AR 72401
(870) 936-1000
(870) 936-2038
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58803
KY
207R00000X
Internal Medicine Physician
E-8118
AR
208M00000X
Hospitalist Physician
E-8118
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201987001
—
AR
Enumeration date
06/10/2010
Last updated
02/05/2025
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