DR. JUSTIN CLARK, D.O.
Surgery
Active
Individual
NPI: 1962480459
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | Yes | 215216 (MA) |
Frequently Asked Questions
NPI 1962480459 is the National Provider Identifier for DR. JUSTIN CLARK, D.O., a Surgery provider located in Lewiston, ME. This NPI was enumerated on January 4, 2006.
DR. JUSTIN CLARK, D.O. practices at 99 CAMPUS AVE, SUITE 303, Lewiston, ME 04240.
Quick Facts
- NPI
- 1962480459
- Type
- Individual
- Enumerated
- Jan 4, 2006
- Last Updated
- Feb 15, 2012
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