Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAX A CLARK, D.O.
ActiveMAX A CLARK, D.O. is a Gynecology healthcare provider located in CENTERVILLE, Ohio. NPI 1538152749 is currently active in the NPPES registry. Verify at CMS.
Gynecology · CENTERVILLE, OH
Registration Details
- NPI Number
- 1538152749
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (20.999285476418 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
34003865 (OH)34003865 (OH)
Practice Information
- Address
-
1975 MIAMISBURG CENTERVILLE RDSUITE ACENTERVILLE, OH, 454593811Browse OH providers · Browse ZIP 45459
- Phone
- 9374381340
- Fax
- 9374384802
- Primary Specialty
-
Gynecology
207VG0400X
- Additional Specialty
- Gynecologic Oncology
Other Gynecology Providers in CENTERVILLE, OH
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES RUEHLE | MD | 1831184274 |
| MR. AHMAD MOEZZI | MD | 1528054111 |
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.