ROBERT CLARK

BAY SHORE DERMATOLOGY, PC

Dr ROBERT CLARK is a male medical professional, specializing in Dermatology. He graduated in 1978 from Ohio State University College Of Medicine.

Contact

BAY SHORE DERMATOLOGY, PC

7550 ASSUNTA CT
FAIRHOPE
AL
365323069

Tel: 2519284944

ROBERT CLARK Information

Npi 1548249436
Pac Id 5698960235
Professional Enrollment Id I20110105000255
Last Name CLARK
First Name ROBERT
Middle Name
Suffix
Gender M
Credential
Medical School Name OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1978
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BAY SHORE DERMATOLOGY, PC
Group Practice Pac Id 9638192263
Number Of Group Practice Members 2
Line 1 Street Address 7550 ASSUNTA CT
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FAIRHOPE
State AL
Zip Code 365323069
Phone Number 2519284944
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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