JASON D CLARK

STATE COLLEGE, PA
NPI1134448525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: PA  OS018039)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: NC  2015-00059)
207X00000X Orthopaedic Surgery
(Licence: GA  071601)
207X00000X Orthopaedic Surgery
(Licence: OH  58.003143)
Enumeration Date2010-05-25
Last Update Date2024-07-03
Business Address
JASON D CLARK D.O.
239 COLONNADE BLVD STE 2
STATE COLLEGE, PA 16803-2668
Phone number: 582-220-2310
Mailing Address
JASON D CLARK D.O.
239 COLONNADE BLVD STE 2
STATE COLLEGE, PA 16803-2668
Phone number: 582-220-2310