John Glenn Clark
Orthopaedic Surgery Physician · Bath, ME
Practice location
111 Whiskeag RdBath, ME 04530-4127
- Phone
- (909) 435-0066
NPI record
- NPI
- 1164625653
- Entity type
- Individual (Type 1)
- Enumeration date
- June 11, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Physician Primary | 207X00000X |
016756 | ME |
| Orthopaedic Surgery Physician | 207X00000X |
A60772 | CA |
About John Clark
John Glenn Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopaedic Surgery Physician (code 207X00000X). The practice location is 111 Whiskeag Rd, Bath, ME 04530-4127. The NPI number 1164625653 was assigned on June 11, 2007 and the record was last updated on July 8, 2007.
John Clark lists 2 licenses in the registry: #016756 (ME) for Orthopaedic Surgery Physician; #A60772 (CA) for Orthopaedic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of John Glenn Clark?
The NPI number is 1164625653.
What is the phone number of John Clark?
The phone number listed for the practice location is (909) 435-0066.
Where is John Clark located?
111 Whiskeag Rd, Bath, ME 04530-4127.
What is the taxonomy code for John Clark?
The primary taxonomy code is 207X00000X – Orthopaedic Surgery Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.