Individual
MR. CORY DOUGLAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7426 BEECHMONT AVE UNIT 212, CINCINNATI, OH 45255-4105
(513) 232-2400
Mailing address
7426 BEECHMONT AVE UNIT 212, CINCINNATI, OH 45255-4105
(513) 232-2400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006996RX
OH
Other
Enumeration date
10/12/2021
Last updated
01/09/2024
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