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Individual

DR. STEPHEN T CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 6TH AVE S # WIC9100, BIRMINGHAM, AL 35233
(205) 934-3460
Mailing address
1700 6TH AVE S # WIC9100, BIRMINGHAM, AL 35233-1802
(205) 934-3460

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.35413
AL
2080P0202X
Pediatric Cardiology Physician
MD.35413
AL

Other

Enumeration date
04/14/2015
Last updated
10/11/2019
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