Individual provider · Type 1 NPI

Justin Clark, DO

Surgery Physician · Lewiston, ME

NPI number 1962480459 Active

Practice location

99 Campus Ave, Suite 303
Lewiston, ME 04240-6045

Call (207) 782-5424 Map

Fax (207) 782-1136

Mailing address

PO Box 1638
Albany, NY 12201-1638

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X215216 (MA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1962480459

Justin Clark, DO's National Provider Identifier is 1962480459, issued on Jan 4, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Lewiston, ME. The record was last updated on Feb 15, 2012.