PATRICIA L CLARK

FORT WAYNE, IN
NPI1053335349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IN  01094461A)
Additional Taxonomies208600000X Surgery
(Licence: AZ  51951)
Enumeration Date2006-07-27
Last Update Date2024-10-02
Business Address
Dr. PATRICIA L CLARK MD
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1739
Phone number: 833-724-8326
Mailing Address
Dr. PATRICIA L CLARK MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: