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Contact Information

RYAN L CLARK, DO
759 CHESTNUT STREET
SPRINGFIELD, MA01107
 Phone: 413-794-3233
 Fax: 413-794-9060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RYAN L CLARK · (Male)

NPI Number 1699160374
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/31/2015
Last updated 06/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 273928
Hospital affiliation(s)
  • BAYSTATE MEDICAL CENTER - (Acute Care)
    759 CHESTNUT STREET
    SPRINGFIELD, MA 01199
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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