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Search › Ohio › 207Q00000X

Edward Clack, DO

NPI 1659629053 · on the registry since 2012 · sole proprietor

Practice

Address
5900 N Main St Ste 3
Dayton, OH 45415
Phone
(937) 277-9371
Fax
(937) 277-7734
Organisation at this address
Bac Medical Llc
Revention Medicine
Visionary Health By M2c
Shiloh Family Medicine Llc
Eye Physicians & Facial Plastic Surgery, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-03

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 Ohio