Search › Ohio › 374U00000X
Alexis Clark
NPI 1831946060 · on the registry since 2024 · sole proprietor
Practice
- Address
- 38973 Butternut Ridge Rd
Elyria, OH 44035 - Phone
- (330) 800-7308
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-06
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