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Individual

TERRY H CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4 FLOWERS DR, SUITE #2, MECHANICSBURG, PA 17050-1709
(717) 620-8225
Mailing address
4 FLOWERS DR, SUITE #2, MECHANICSBURG, PA 17050-1709
(717) 620-8225

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005924
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102292408
PA
Enumeration date
01/20/2009
Last updated
01/03/2019
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