Jerry A. Clark, MD, CMD
Internal Medicine Physician · Beavercreek, OH
Practice location
722 N Fairfield RdBeavercreek, OH 45434-5918
- Phone
- (937) 208-7000
- Fax
- (937) 208-7010
NPI record
- NPI
- 1346280005
- Entity type
- Individual (Type 1)
- Enumeration date
- June 8, 2006
- Last updated
- December 10, 2013
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Physician Primary | 207R00000X |
35.054620 | OH |
About Dr. Clark
Jerry A. Clark, MD, CMD is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 722 N Fairfield Rd, Beavercreek, OH 45434-5918. The NPI number 1346280005 was assigned on June 8, 2006 and the record was last updated on December 10, 2013.
Dr. Clark lists a license in the registry: #35.054620 (OH) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jerry A. Clark, MD, CMD?
The NPI number is 1346280005.
What is the phone number of Dr. Clark?
The phone number listed for the practice location is (937) 208-7000.
Where is Dr. Clark located?
722 N Fairfield Rd, Beavercreek, OH 45434-5918.
What is the taxonomy code for Dr. Clark?
The primary taxonomy code is 207R00000X – Internal Medicine Physician.
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.
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