Dr JONATHAN R CLARK is a male medical professional, specializing in Family Medicine. He graduated in 1997 from University Of Kentucky College Of Medicine.
EPHRAIM MCDOWELL HEALTH RESOURCE INC
110 METKER TRL
STANFORD
KY
404841020
Tel: 6062392452
| Npi | 1154415156 |
| Pac Id | 4486794583 |
| Professional Enrollment Id | I20091222000209 |
| Last Name | CLARK |
| First Name | JONATHAN |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | EPHRAIM MCDOWELL HEALTH RESOURCE INC |
| Group Practice Pac Id | 7517876956 |
| Number Of Group Practice Members | 79 |
| Line 1 Street Address | 110 METKER TRL |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | STANFORD |
| State | KY |
| Zip Code | 404841020 |
| Phone Number | 6062392452 |
| Hospital Affiliation Ccn 1 | 180048 |
| Hospital Affiliation Lbn 1 | EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 181315 |
| Hospital Affiliation Lbn 2 | EPHRAIM MCDOWELL FORT LOGAN HOSPITAL |
| Hospital Affiliation Ccn 3 | 181302 |
| Hospital Affiliation Lbn 3 | THE JAMES B. HAGGIN MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 4 | 180067 |
| Hospital Affiliation Lbn 4 | UNIVERSITY OF KENTUCKY HOSPITAL |
| Hospital Affiliation Ccn 5 | 180103 |
| Hospital Affiliation Lbn 5 | BAPTIST HEALTH LEXINGTON |
| Professional Accepts Medicare Assignment | Y |
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