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Contact Information

RAYMOND H CLARK, MD
5330 PLANTATION CV
CONWAY, AR72034-8586
 Phone: 501-472-7697
 Fax: 501-336-8837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for RAYMOND H CLARK · (Male)

NPI Number 1750483699
Status Active
Credentials MD
Entity Individual
Enumeration date 09/01/2006
Last updated 08/31/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AR License # C8236
  • AR Medicaid 129952001
Hospital affiliation(s)
  • JOHNSON REGIONAL MEDICAL CENTER - (Acute Care)
    1100 EAST POPLAR STREET
    CLARKSVILLE, AR 72830
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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