Individual
DR. ROBERT WILLIAM CLARKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8120 MAIN ST, SUITE 300, HOUMA, LA 70360-3403
(985) 872-6405
(985) 876-1338
Mailing address
8120 MAIN ST, SUITE 300, HOUMA, LA 70360-3403
(985) 872-6405
(985) 876-1338
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
017661
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347981
—
LA
Enumeration date
08/26/2005
Last updated
01/23/2014
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