ELIZABETH A CLARK

COASTAL SKIN SURGERY AND DERMATOLOGY, PL

Dr ELIZABETH A CLARK is a female medical professional, specializing in Dermatology. She graduated in 1985 from University Of Texas Medical School At San Antonio.

Contact

COASTAL SKIN SURGERY AND DERMATOLOGY, PL

12139 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH
FL
324072609

Tel: 8506543376

ELIZABETH A CLARK Information

Npi 1427033463
Pac Id 8921297623
Professional Enrollment Id I20110112000051
Last Name CLARK
First Name ELIZABETH
Middle Name A
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year 1985
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COASTAL SKIN SURGERY AND DERMATOLOGY, PL
Group Practice Pac Id 3173715869
Number Of Group Practice Members 11
Line 1 Street Address 12139 PANAMA CITY BEACH PKWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PANAMA CITY BEACH
State FL
Zip Code 324072609
Phone Number 8506543376
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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