CLARK PHYSICIAN GROUP LLC

JEFFERSONVILLE, IN
NPI1396901104
Entity TypeOrganization
Authorized ContactKIRK WILLIAM STRACK
CFO
812-283-2488
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
207RC0000X Internal Medicine, Cardiovascular Disease
207X00000X Orthopaedic Surgery
208000000X Pediatrics
207V00000X Obstetrics & Gynecology
207VG0400X Obstetrics & Gynecology, Gynecology
363LW0102X Nurse Practitioner, Women's Health
363A00000X Physician Assistant
363LP0200X Nurse Practitioner, Pediatrics
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2008-07-31
Last Update Date2013-03-25
Business Address
CLARK PHYSICIAN GROUP LLC
1806 E 10TH ST
JEFFERSONVILLE, IN 47130-6016
Phone number: 812-285-5983
Mailing Address
CLARK PHYSICIAN GROUP LLC
1806 E 10TH ST
JEFFERSONVILLE, IN 47130-6016
Phone number: 812-285-5983