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Contact Information

JOHN M CLARK, MD
3220 PROVIDENCE DR
STE E3040
ANCHORAGE, AK99508
 Phone: 907-770-3750
 Fax: 907-770-3795
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN M CLARK · (Male)

NPI # 1518936871
Status Active
Credentials MD
Entity Individual
Enumeration date 03/17/2006
Last updated 08/26/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 3182
  • AK Medicaid MD3182
  • Other 290009977 RAILROAD
Hospital affiliation(s)
  • ALASKA NATIVE MEDICAL CENTER - (Acute Care)
    4315 DIPLOMACY DR
    ANCHORAGE, AK 99508
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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