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Individual

ALEXANDER CHASE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
12680 PERRY HWY STE 201, WEXFORD, PA 15090-8887
(724) 714-5189
Mailing address
12680 PERRY HWY STE 201, WEXFORD, PA 15090-8887
(724) 720-4600
(724) 720-4601

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MA064980
PA

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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