MARK E CLARK

JOHNSON CITY, TN
NPI1861505026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  PA942)
Enumeration Date2006-08-15
Last Update Date2007-07-08
Business Address
-- MARK E CLARK PA
101 MED TECH PKWY SUITE 305
JOHNSON CITY, TN 37604-4007
Phone number: 423-926-6266
Mailing Address
-- MARK E CLARK PA
PO BOX 5576
JOHNSON CITY, TN 37602-5576
Phone number: 423-926-6266
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