NPI 1043205461

Charles a Clark, MD

Practitioner Orthopaedic Surgery Physician Pine Bluff, AR

Practice location

Address: 1609 W 40th Ave STE 501, Pine Bluff, AR 71603-6329
Phone: (870) 534-3449
Fax: (870) 535-6730

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence N8106 (AR)

Other Orthopaedic Surgery providers in Arkansas →

Registry record

NPI: 1043205461
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2005
Record last updated: 4 Feb 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.