Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACEY DURKOVICH CLARK, DO
ActiveOphthalmology · BANGOR, ME
Registration Details
- NPI Number
- 1437314127
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2008 (17.795653699877 yrs)
- Last Updated
- Dec 10, 2013
- Licenses
-
OT012459 (PA)2313 (ME)
Practice Information
- Address
-
1 RIDGEWOOD DRIVEBANGOR, ME, 04401Browse ME providers · Browse ZIP 04401
- Phone
- 2079456200
- Fax
- 2079903015
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Ophthalmology
Other Ophthalmology Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| PAUL RUSH MOULTON | M.D. | 1255330205 |
| DR. JOHN THEODORE BOWMAN | M.D. | 1396731006 |
| CYNTHIA AMANDA SELF | MD | 1275521650 |
| JEFFREY JAY JORDAN | MD | 1861480246 |
| GARTH ALLEN WILBANKS | MD | 1265420640 |
| DR. LAWRENCE PIAZZA | M.D. | 1881660116 |
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.