Individual
MR. MARK EDWARD CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NPP32626
Contact information
Practice address
100 CLARK RD, SMITHFIELD, RI 02917-2311
(401) 349-2473
Mailing address
100 CLARK RD, SMITHFIELD, RI 02917-2322
(401) 349-2473
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPP32626
RI
Other
Enumeration date
11/21/2006
Last updated
05/26/2015
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