Individual provider · Type 1 NPI

Edward Petersen Clack, DO

Family Medicine Physician · Dayton, OH

NPI number 1659629053 Active

Practice location

5900 N Main St Ste 3
Dayton, OH 45415-3198

Call (937) 277-9371 Map

Fax (937) 277-7734

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X34.011463 (OH)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1659629053

Edward Petersen Clack, DO's National Provider Identifier is 1659629053, issued on Aug 16, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Dayton, OH. The record was last updated on May 3, 2023.