| NPI | 1124529284 |
|---|---|
| Doing Business As | CLARK INTEGRATED MEDICAL CLINICS |
| Entity Type | Organization |
| Authorized Contact | JACOB SCOTT CLARK Owner 337-232-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2020-12-09 |