CHRISTOPHER EUGENE CLARK

VICKSBURG CLINIC LLC

Dr CHRISTOPHER EUGENE CLARK is a male medical professional, specializing in General Surgery. He graduated in 2008 from Oklahoma College Of Osteopathic Medicine And Surgery.

Contact

VICKSBURG CLINIC LLC

2100 HWY 61 N
VICKSBURG
MS
391838211

Tel: 6018835001

CHRISTOPHER EUGENE CLARK Information

Npi 1962704999
Pac Id 1052582939
Professional Enrollment Id I20171025000616
Last Name CLARK
First Name CHRISTOPHER
Middle Name EUGENE
Suffix
Gender M
Credential
Medical School Name OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY
Graduation Year 2008
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name VICKSBURG CLINIC LLC
Group Practice Pac Id 5890696330
Number Of Group Practice Members 31
Line 1 Street Address 2100 HWY 61 N
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VICKSBURG
State MS
Zip Code 391838211
Phone Number 6018835001
Hospital Affiliation Ccn 1 250031
Hospital Affiliation Lbn 1 MERIT HEALTH RIVER REGION
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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