Max A Clark
Gynecologist Gynecologic Oncologist
1975 Miamisburg Centerville Rd Suite A
Centerville
, Ohio 45459-3811
Max A Clark
Gynecologist Gynecologic Oncologist
1975 Miamisburg Centerville Rd Suite A
Centerville
, Ohio 45459-3811
(937) 438-4802
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About
Features
Specialties
- Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Max A Clark
- 1975 Miamisburg Centerville Rd Suite A
- Centerville, OH
- Zip : 45459-3811
- Fax : (937) 438-4802
- Phone : (937) 438-1340
Second Address
- Max A Clark
- 1975 Miamisburg Centerville Rd Suite A
- Centerville, OH
- Zip : 45459-3811
- Fax : (937) 438-4802
- Phone : (937) 438-1340
Reviews
FAQs
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In what state does Max A Clark practice in?
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Is Max A Clark a sole practitioner?
Is Max A Clark accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VG0400X | Gynecologist | 34003865 | OH |
| N | 207VX0201X | Gynecologic Oncologist | 34003865 | OH |
National Provider Identifier
| NPI | 1538152749 |
|---|---|
| Provider Name | Max A Clark |
| First Address | Centerville, OH 45459-3811 |
| Second Address | Centerville, OH 45459-3811 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0803367 | (05) | OH |
| E76476 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.