NPI 1053316364

Richard Don Clark, MD

Practitioner Family Medicine Physician Marietta, OH

Practice location

Address: 802 Wayne St STE 202, Marietta, OH 45750-3300
Phone: (740) 374-4950
Fax: (740) 374-4953
Mailing address: PO Box 449, Marietta, OH 45750-0449

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 35061501 (OH)

Other Family Medicine providers in Ohio →

Registry record

NPI: 1053316364
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2005
Record last updated: 17 Aug 2011

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.