Organization
G GREGORY CLARK MD AND ANNE C CLARK MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE C CLARK M.D. (OWNER)
(317) 843-9005
Entity
Organization
Contact information
Practice address
9002 N MERIDIAN ST, SUITE 112, INDIANAPOLIS, IN 46260-5381
(317) 843-9005
(317) 580-0443
Mailing address
9002 N MERIDIAN ST, SUITE 112, INDIANAPOLIS, IN 46260-5381
(317) 843-9005
(317) 580-0443
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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