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Contact Information

DONALD L CLARK, MD
725 UNIVERSITY BLVD
DAYTON, OH45435-0001
 Phone: 937-245-7200
 Fax: 937-245-7922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

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

NPI Number 1154313369
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2005
Last updated 04/01/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-114287
  • OH License # 35-120123
  • IL Medicaid 036114287
  • OH Medicaid 0073290
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
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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