| NPI | 1831418060 |
|---|---|
| Doing Business As | CLARK REGIONAL FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TERRANCE DILLON Assistant Secretary 502-596-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2022-04-22 |