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Individual

ROMNEE S CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
535 BARNHILL DR, RT 473, INDIANAPOLIS, IN 46202-5112
(317) 278-7576
Mailing address
550 N MERIDIAN ST, STE 114, INDIANAPOLIS, IN 46204-1207

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01050697
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200543250
IN
Enumeration date
04/24/2006
Last updated
02/08/2010
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