NPI 1093700320 GLENN L. CLARK M.D. JENNINGS LA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Glenn L. Clark - NPI: 1093700320

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: GLENN L. CLARK
NPI Number: 1093700320
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: ME42096
Business Practice Address: 4250 Hospital Dr
Marianna, FL - 324461917
Business Phone Number: 8507182597
Business Fax Number: 8507182551
Mailing Address: Po Box 1128,
JENNINGS
State: LA
Postal Code: 705461128
Phone Number: 3378244403
Fax Number: 3378249731
NPI Enumeration Date: 09/13/2005
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2085R0202X
License Number: ME42096
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Radiology
Taxonomy Specialization: Diagnostic Radiology
Taxonomy Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


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