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John Clark
NPI 1164625653 · on the registry since 2007
Practice
- Address
- 111 Whiskeag Rd
Bath, ME 04530 - Phone
- (909) 435-0066
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 207X00000X
- Licence states on file
- ME, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine