Individual
SIERRA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 MEDICAL ARTS BLVD STE 250, ANDERSON, IN 46011-3431
(765) 298-4282
(765) 298-4989
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01093583A
IN
207V00000X
Obstetrics & Gynecology Physician
APP-000462558
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300118453
—
IN
Enumeration date
05/10/2021
Last updated
09/24/2025
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