Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY WAYNE CLARK, D.O.
Active Sole ProprietorFamily Medicine · CARROLLTON, OH
Registration Details
- NPI Number
- 1013987759
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2006 (20.255958965412 yrs)
- Last Updated
- Apr 24, 2015
- Licenses
-
DO785 (TN)011418 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 CANTON RD NWCARROLLTON, OH, 446151009Browse OH providers · Browse ZIP 44615
- Phone
- 3306277641
- Fax
- 3306275796
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CARROLLTON, OH
| Name | Credential | NPI |
|---|---|---|
| PRATHEEP PAWA | MD | 1205878790 |
| DR. MATTHEW D INMAN | D.O. | 1689680191 |
| WALTER SCOTT STINE | M.D. | 1700896016 |
| MANDAL BRIAN HAAS | M.D. | 1770593006 |
| CARL R FRY | D.O. | 1265796049 |
| EMILY BROWN | DO | 1699238709 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.