GLENN L. CLARK

MARIANNA, FL
NPI1093700320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: FL  ME42096)
Enumeration Date2005-09-13
Last Update Date2007-07-08
Business Address
-- GLENN L. CLARK M.D.
4250 HOSPITAL DR
MARIANNA, FL 32446-1917
Phone number: 850-718-2597
Mailing Address
-- GLENN L. CLARK M.D.
PO BOX 1128
JENNINGS, LA 70546-1128
Phone number: 337-824-4403
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