Dr NATHAN A CLARK is a male medical professional, specializing in Podiatry. He graduated in 2008.
HOLZER CLINIC LLC
100 JACKSON PIKE
GALLIPOLIS
OH
456311560
Tel: 7404465050
| Npi | 1588898373 |
| Pac Id | 1153590468 |
| Professional Enrollment Id | I20110802000816 |
| Last Name | CLARK |
| First Name | NATHAN |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | HOLZER CLINIC LLC |
| Group Practice Pac Id | 5890606008 |
| Number Of Group Practice Members | 226 |
| Line 1 Street Address | 100 JACKSON PIKE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GALLIPOLIS |
| State | OH |
| Zip Code | 456311560 |
| Phone Number | 7404465050 |
| Hospital Affiliation Ccn 1 | 360054 |
| Hospital Affiliation Lbn 1 | HOLZER MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 361320 |
| Hospital Affiliation Lbn 2 | HOLZER MEDICAL CENTER JACKSON |
| 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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