Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK PROW CLARK, M.D.
Active Sole ProprietorDR. JACK PROW CLARK, M.D. is a Family Medicine healthcare provider located in SYRACUSE, Indiana. NPI 1346320140 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SYRACUSE, IN
Registration Details
- NPI Number
- 1346320140
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2006 (19.817558456848 yrs)
- Last Updated
- Jul 8, 2007
- License
-
01017687 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
518 EMS D15 LNSYRACUSE, IN, 465678026Browse IN providers · Browse ZIP 46567
- Phone
- 5744573292
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SYRACUSE, IN
| Name | Credential | NPI |
|---|---|---|
| JOHN KENT KRATZER | D.O. | 1447293436 |
| LARRY D ALLEN | MD | 1942310818 |
| JODI S CLOUSE | MD | 1730299603 |
| MATTHEW WELLS | MD | 1558891812 |
| KARLA TROYER | DO | 1568088557 |
| ELIZABETH VOIROL | DO | 1417696717 |
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.