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Contact Information

ROBERT W CLARK MD INC
1430 S HIGH ST
COLUMBUS, OH43207
 Phone: 614-443-7800
 Fax: 614-443-6960
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERT W CLARK MD INC

NPI # 1124083001
LBN Legal business name ROBERT W CLARK MD INC
Authorized official ROBERT CLARK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OH Medicaid 0329451
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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