NPI 1013917814

Edward C Clark, MD

Practitioner Nephrology Physician Erie, PA

Practice location

Address: 311 W 24th St Suite 402, Erie, PA 16502-2665
Phone: (814) 453-6687
Fax: (814) 456-4676

Registered specialties

Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X Licence MD055901L (PA)

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Registry record

NPI: 1013917814
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2005
Record last updated: 13 Nov 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.