Search › Indiana › 1041C0700X
Melissa Clark, 6002172
NPI 1801967195 · on the registry since 2006
Practice
- Address
- 6141 Basswood Dr
Columbus, IN 47201 - Phone
- (812) 603-6827
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- NC, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-30
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 Indiana