Individual
MARK E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
4004 DUPONT CIR, STE 220, LOUISVILLE, KY 40207-4819
(502) 893-0159
(502) 213-3853
Mailing address
PO BOX 950116, LOUISVILLE, KY 40295-0116
(502) 893-0159
(502) 213-3853
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
02/23/2018
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