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Justin Clark, D.O
NPI 1962480459 · on the registry since 2006
Practice
- Address
- 99 Campus Ave
Suite 303
Lewiston, ME 04240 - Phone
- (207) 782-5424
- Fax
- (207) 782-1136
- Organisation at this address
- Community Clinical Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-02-15
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