Individual
PATRICIA MICHELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
401 6TH AVE, MONTGOMERY, WV 25136-2116
(304) 442-2521
(304) 442-7463
Mailing address
401 6TH AVE, MONTGOMERY, WV 25136-2116
(304) 442-2521
(304) 442-7463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2407
WV
Other
Enumeration date
06/27/2008
Last updated
11/04/2011
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