STUART G. CLARK

SHREVEPORT, LA
NPI1831532555
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: LA  302997)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-04-11
Last Update Date2016-12-27
Business Address
-- STUART G. CLARK MD
1501 KINGS HWY DEPT. OF PEDIATRICS
SHREVEPORT, LA 71103-4228
Phone number: 318-675-8600
Mailing Address
-- STUART G. CLARK MD
1501 KINGS HWY DEPT. OF PEDIATRICS
SHREVEPORT, LA 71103-4228
Phone number: 318-675-8600
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