Individual
PAMELA A. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 HOPE DR STE 104, HERSHEY, PA 17033-2008
(717) 531-8550
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
54205
TN
2080P0205X
Pediatric Endocrinology Physician
Primary
MD486764C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q021551
—
TN
Enumeration date
02/08/2006
Last updated
10/18/2024
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