Dr IAN CLARK is a male medical professional, specializing in Pathology. He graduated in 1996.
MEMPHIS PATHOLOGY GROUP PC
1265 UNION AVE
MEMPHIS
TN
381043415
Tel: 9015167000
| Npi | 1669985958 |
| Pac Id | 1951661438 |
| Professional Enrollment Id | I20180131002470 |
| Last Name | CLARK |
| First Name | IAN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1996 |
| Primary Specialty | PATHOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MEMPHIS PATHOLOGY GROUP PC |
| Group Practice Pac Id | 4981914124 |
| Number Of Group Practice Members | 17 |
| Line 1 Street Address | 1265 UNION AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MEMPHIS |
| State | TN |
| Zip Code | 381043415 |
| Phone Number | 9015167000 |
| Hospital Affiliation Ccn 1 | 440049 |
| Hospital Affiliation Lbn 1 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Hospital Affiliation Ccn 2 | 250167 |
| Hospital Affiliation Lbn 2 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| 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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