Whalio Doctors

NPI 1548249436

Robert Alan Clark, MD

Practitioner Dermatology Physician Fairhope, AL

Practice location

Address
7550 Assunta CT, Fairhope, AL 36532-3069
Phone
(251) 928-4944
Fax
(251) 928-2086

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 17869 (AL)

Registry record

NPI
1548249436
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jan 2006
Record last updated
28 Jul 2010

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.