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1164841102
GREGORY S CLARK
INDIANAPOLIS, IN
NPI
1164841102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IN 10000165A)
Enumeration Date
2014-04-07
Last Update Date
2017-01-03
Business Address
-- GREGORY S CLARK PA-C
8433 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260-2193
Phone number: 317-583-7600
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Mailing Address
-- GREGORY S CLARK PA-C
10330 N MERIDIAN ST # 300
INDIANAPOLIS, IN 46290-1024
Phone number:
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