James R Clark, DO
Radiology, Diagnostic Radiology in Kettering, OH. Individual provider (NPI-1).
NPI number1497705271
StatusActive
Last updated in NPPESAug 22, 2007
Details
- NPI
- 1497705271
- Entity type
- Individual (NPI-1)
- Name
- James R Clark
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2006
- Last updated
- Aug 22, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 34002712 | OH | Yes |
Practice location
3535 Southern BlvdKettering, OH 45429-1221
Phone 937-296-7202
Mailing address
Box 713083Columbus, OH 43271-3083
Phone 614-430-5707
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