Individual
MR. CHRISTOPHER JAMES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(800) 698-2411
Mailing address
4400 W 69TH ST, SIOUX FALLS, SD 57108-8170
(605) 322-5737
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0551
SD
2084P0800X
Psychiatry Physician
Primary
18809
ND
Other
Enumeration date
02/26/2018
Last updated
05/01/2024
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