NPI 1316184815

Charles A. Clark, MD, PA

Organisation Orthopaedic Surgery Physician Pine Bluff, AR

Practice location

Address: 1609 W 40th Ave Suite 501, Pine Bluff, AR 71603-6319
Phone: (870) 534-3449
Fax: (870) 535-3973

Authorised official

Name: Charles Allan Clark
Title: President
Phone: (870) 534-3449

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Arkansas →

Registry record

NPI: 1316184815
Entity type: Organization
NPI issued: 21 Jan 2009
Record last updated: 4 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.