Individual
CHRISTOPHER MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
48 MEDICAL PARK DR E STE 153, BIRMINGHAM, AL 35235-3459
(205) 402-8133
(205) 833-5156
Mailing address
833 SAINT VINCENTS DR STE 402, BIRMINGHAM, AL 35205-1613
(205) 933-9236
(205) 933-9213
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD.37651
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232140
—
AL
Enumeration date
04/23/2013
Last updated
06/09/2025
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