Individual
CHAD DAVID CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
85 MCNAUGHTEN RD, STE 110, COLUMBUS, OH 43213-2174
(614) 856-9100
(614) 856-9191
Mailing address
1855 DRUGAN CT SW, REYNOLDSBURG, OH 43068-8181
(614) 314-3020
(614) 627-2014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-00-1851
OH
Other
Enumeration date
04/19/2006
Last updated
03/01/2022
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