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Individual

DR. STEPHEN D CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0426770
KS
2085N0700X
Neuroradiology Physician
0426770
KS
2085N0904X
Nuclear Radiology Physician
0426770
KS
2085P0229X
Pediatric Radiology Physician
0426770
KS
2085R0202X
Diagnostic Radiology Physician
Primary
04-26770
KS
2085R0203X
Therapeutic Radiology Physician
0426770
KS
2085R0204X
Vascular & Interventional Radiology Physician
0426770
KS
2085U0001X
Diagnostic Ultrasound Physician
0426770
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100331230D
KS
Enumeration date
11/19/2005
Last updated
11/22/2016
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