NPI 1104174846

Mary E Clark, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician White River Junction, VT

Practice location

Address: 163 Veterans Drive, White River Junction, VT 05009-4728
Phone: (508) 776-8014
Mailing address: 215 N Main St, White River Junction, VT 05009-0001

Registered specialties (3)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 282335 (MA)

Other Pathology providers in Vermont →

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 27610 (NE)

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence LP05113 (RI)

Registry record

NPI: 1104174846
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2012
Record last updated: 17 Sep 2021

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.