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Contact Information

ZACHARY E CLARK, MD
619 19TH ST S
BIRMINGHAM, AL35249
 Phone: 205-934-4011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ZACHARY E CLARK · (Male)

NPI # 1023429495
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2014
Last updated 06/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 35318
  • AL Other 35318 ALABAMA CONTROLLED SUBSTANCE LICENSE
  • AL Other 35318 STATE MEDICAL LICENSE
Hospital affiliation(s)
  • UNIVERSITY OF ALABAMA HOSPITAL - (Acute Care)
    619 SOUTH 19TH STREET
    BIRMINGHAM, AL 35233
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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