Individual
DAVID GLENN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01080891A
IN
2084N0400X
Neurology Physician
21639
AL
2084N0400X
Neurology Physician
37037
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932389
—
AL
05
—
009932394
—
AL
01
—
051529987
BLUE CROSS
AL
01
—
051529988
BLUE CROSS
AL
05
—
300017080
—
IN
01
—
G82404
VIVA
AL
01
—
P00313093
RAILROAD MEDICARE
—
Enumeration date
06/13/2006
Last updated
03/08/2025
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