Organization
SOUTH ALABAMA ORTHOPEDICS & SPORTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN CLARK DO (PRESIDENT)
(334) 445-2663
Entity
Organization
Contact information
Practice address
2126 W ROY PARKER RD, SUITE 201, OZARK, AL 36360-8566
(334) 445-2663
(334) 774-7271
Mailing address
PO BOX 1025, OZARK, AL 36361-1025
(334) 445-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO-563
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952311631
—
AL
Enumeration date
08/08/2006
Last updated
02/07/2014
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