JEREMY DUSTIN CLARK

LOUISVILLE, KY
NPI1073838850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: KY  47098)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-04-05
Last Update Date2014-07-11
Business Address
Dr. JEREMY DUSTIN CLARK M.D.
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1511
Phone number: 502-588-0550
Mailing Address
Dr. JEREMY DUSTIN CLARK M.D.
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1511
Phone number: 502-588-0550