Individual provider · Type 1 NPI

John E. Clark

Specialist · Baton Rouge, LA

NPI number 1881736593 Active

Practice location

4545 Bluebonnet Blvd
Baton Rouge, LA 70809-5600

Fax (225) 767-7134

Mailing address

PO Box 84358
Baton Rouge, LA 70884-4358

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X08015R (LA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1881736593

John E. Clark's National Provider Identifier is 1881736593, issued on Feb 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Baton Rouge, LA. The record was last updated on May 18, 2009.