Individual
DR. CHRISTOPHER E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
825 W WASHINGTON ST STE 9, EUFAULA, AL 36027-1851
(334) 688-7050
(334) 688-7490
Mailing address
820 W WASHINGTON ST, EUFAULA, AL 36027-1899
(334) 688-7000
(334) 688-7127
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO.1310
AL
208600000X
Surgery Physician
2016-00328
NC
208600000X
Surgery Physician
Primary
DO.1310
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05788788
—
MS
05
—
314156
—
AL
01
—
909150
MEDICARE
MS
Enumeration date
11/23/2010
Last updated
06/09/2026
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