Individual
DR. CLARK WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7015 HWY 190 E SERV RD, SUITE 200, COVINGTON, LA 70433-4960
(985) 234-3000
(985) 234-3002
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(985) 234-3000
(225) 526-0636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
017994
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197131
—
LA
Enumeration date
03/24/2006
Last updated
04/04/2024
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