Individual
CURTIS R CLARK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WHEELING AVE, GLEN DALE, WV 26038-3357
(304) 843-3270
Mailing address
299 TOWNSHIP ROAD 1214, IRONTON, OH 45638-8809
(304) 673-1020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21517
WV
207L00000X
Anesthesiology Physician
Primary
35087466
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2547944
—
OH
Enumeration date
05/31/2006
Last updated
04/09/2014
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