Individual
MR. THOMAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 UPPER PLAIN, BRADFORD, VT 05033
(802) 222-4722
(802) 222-4709
Mailing address
331 UPPER PLAIN, BRADFORD, VT 05033
(802) 222-4722
(802) 222-4709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
VT
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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