Individual provider · Type 1 NPI

Glenn L. Clark, MD

Diagnostic Radiology Physician · Marianna, FL

NPI number 1093700320 Active

Practice location

4250 Hospital Dr
Marianna, FL 32446-1917

Call (850) 718-2597 Map

Fax (850) 718-2551

Mailing address

PO Box 1128
Jennings, LA 70546-1128

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XME42096 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

36 other providers at this address

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About NPI 1093700320

Glenn L. Clark, MD's National Provider Identifier is 1093700320, issued on Sep 13, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Marianna, FL. The record was last updated on Jul 13, 2026.