Individual
DR. PETER L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO1775
ME
207Q00000X
Family Medicine Physician
1775
ME
Other
Enumeration date
07/10/2006
Last updated
02/05/2018
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