Search › Louisiana › 207Q00000X
Gordon Clark, MD
NPI 1265546014 · on the registry since 2006
Practice
- Address
- 2314 S Range Ave
Denham Springs, LA 70726 - Phone
- (225) 480-4080
- Fax
- (877) 485-4275
- Organisation at this address
- Centerwell Senior Primary Care La Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- CO, LA, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-26
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 Louisiana