Individual
DR. ROBERT EARL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
31121
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
31121
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0354066
UNITED HEALTHCARE
NC
01
—
070012681
RETIRED RAILROAD MEDICARE
NC
01
—
11591
BCBS
NC
01
—
13123
PARTNERS
NC
01
—
13334
DOCTOR'S HEALTH PLAN
NC
01
—
2046860
AETNA HMO
NC
01
—
259852
MAMSI
NC
01
—
4347967
AETNA PPO
NC
01
—
562070218C
CIGNA
NC
01
—
81690
MEDCOST
NC
05
—
8911591
—
NC
01
—
9715177001
CIGNA HEALTHCARE
NC
Enumeration date
06/27/2005
Last updated
09/29/2020
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