JOHN GLENN CLARK

BATH, ME
NPI1164625653
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: ME  016756)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: CA  A60772)
Enumeration Date2007-06-11
Last Update Date2007-07-08
Business Address
Dr. JOHN GLENN CLARK
111 WHISKEAG RD
BATH, ME 04530-4127
Phone number: 909-435-0066
Mailing Address
Dr. JOHN GLENN CLARK
111 WHISKEAG RD
BATH, ME 04530-4127
Phone number: 909-435-0066