| Doctor Name: | JAMES M CLARK |
| NPI Number: | 1083857411 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD028993L |
| Business Practice Address: | 2100 Harrisburg Pike Bldg 2112 Suite 327 Lancaster, PA - 176012644 |
| Business Phone Number: | 7175443216 |
| Business Fax Number: | 7175443096 |
| Mailing Address: | 2100 Harrisburg Pike, Bldg 2112 Suite 327 LANCASTER |
| State: | PA |
| Postal Code: | 176012644 |
| Phone Number: | 7175443216 |
| Fax Number: | 7175443096 |
| NPI Enumeration Date: | 04/15/2009 |
| NPI Last Update Date: | 04/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD028993L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |