Individual
DR. DAVID P. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 WILLOW ST, LEBANON, PA 17046-4871
(717) 273-8835
Mailing address
300 WILLOW ST, LEBANON, PA 17046-4871
(717) 273-8835
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD032198E
PA
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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