MATTHEW RYAN CLARK

CHARLOTTE, NC
NPI1194162230
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: OR  MD195653)
Additional Taxonomies207N00000X Dermatology
(Licence: NC  2023-00924)
207N00000X Dermatology
(Licence: SC  MMD89666MD)
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: NC  2023-00924)
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: SC  MMD89666MD)
Enumeration Date2013-05-30
Last Update Date2023-08-29
Business Address
MATTHEW RYAN CLARK M.D.
15830 BALLANTYNE MEDICAL PL STE 225
CHARLOTTE, NC 28277-0760
Phone number: 704-919-1105
Mailing Address
MATTHEW RYAN CLARK M.D.
1390 S POTOMAC ST STE 124
AURORA, CO 80012-4529
Phone number: 303-368-8611