Individual
SAMANTHA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 S MAIN ST STE 101, ORRVILLE, OH 44667-2218
(330) 684-4797
(330) 684-4759
Mailing address
7570 BONETA RD, WADSWORTH, OH 44281-8403
(330) 419-1019
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.132336
OH
Other
Enumeration date
05/09/2014
Last updated
04/28/2022
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