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1942887641
OLIVER COPP CLARK
PHILADELPHIA, PA
NPI
1942887641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD485153)
Enumeration Date
2021-03-27
Last Update Date
2024-10-25
Business Address
Dr. OLIVER COPP CLARK MB BCh BAO
800 SPRUCE ST
PHILADELPHIA, PA 19107-6130
Phone number: 312-957-5706
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Mailing Address
Dr. OLIVER COPP CLARK MB BCh BAO
800 SPRUCE ST
PHILADELPHIA, PA 19107-6130
Phone number: 215-829-3531
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