Organization
SHAWN CLARK, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN BROXTON CLARK M.D. (PHYSICIAN)
(251) 295-2579
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, #C138, MOBILE, AL 36608-6705
(251) 295-2579
Mailing address
6701 AIRPORT BLVD, #C138, MOBILE, AL 36608-6705
(251) 295-2579
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23993
AL
363AS0400X
Surgical Physician Assistant
143
AL
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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