Individual
DR. MICHAEL BRADY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 MCKEAN RD, SPRING HOUSE, PA 19477
(215) 793-7131
Mailing address
1400 MCKEAN RD, PO BOX 776, SPRING HOUSE, PA 19477
(215) 793-7131
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
0101056149
VA
2083A0100X
Aerospace Medicine Physician
055114
GA
Other
Enumeration date
02/24/2011
Last updated
06/04/2012
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