Ryan Stewart Clark, D.O.

Cardiovascular Disease Physician · Kettering, OH

Individual Active NPI

NPI number 1396049011

Practice location

1380 E Stroop Rd
Kettering, OH 45429-4926
Phone
(937) 293-3486
Fax
(937) 293-3605

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NPI record

NPI
1396049011
Entity type
Individual (Type 1)
Enumeration date
January 10, 2011
Last updated
January 28, 2021
Certified
January 28, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Cardiovascular Disease Physician Primary 207RC0000X 34010728 OH
Internal Medicine Physician 207R00000X 34010728 OH
Student in an Organized Health Care Education/Training Program 390200000X 58.003689 OH

Mailing address

1103 Fairington Dr
Sidney, OH 45365-8130
Phone
(937) 980-7400
Fax
(937) 980-7441

About Dr. Clark

Ryan Stewart Clark, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Cardiovascular Disease Physician (code 207RC0000X). The practice location is 1380 E Stroop Rd, Kettering, OH 45429-4926. The NPI number 1396049011 was assigned on January 10, 2011 and the record was last updated on January 28, 2021.

Dr. Clark lists 3 licenses in the registry: #34010728 (OH) for Cardiovascular Disease Physician; #34010728 (OH) for Internal Medicine Physician; #58.003689 (OH) for Student in an Organized Health Care Education/Training Program. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Stewart Clark, D.O.?

The NPI number is 1396049011.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (937) 293-3486.

Where is Dr. Clark located?

1380 E Stroop Rd, Kettering, OH 45429-4926.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 207RC0000X – Cardiovascular Disease Physician; 2 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.

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