Individual
IAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-7182
(901) 276-5474
Mailing address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-7182
(901) 276-5474
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
56522
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033048
—
TN
Enumeration date
11/09/2017
Last updated
10/08/2018
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