Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES EDWARD CLARK, MD
ActiveDR. CHARLES EDWARD CLARK, MD is a Family Medicine healthcare provider located in BRISTOL, Vermont. NPI 1609912427 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BRISTOL, VT
Registration Details
- NPI Number
- 1609912427
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2007 (19.511421726957 yrs)
- Last Updated
- Sep 26, 2013
- License
-
0420006979 (VT)
Practice Information
- Address
-
74 MUNSILL AVESUITE 100BRISTOL, VT, 054431032Browse VT providers · Browse ZIP 05443
- Phone
- 8024535028
- Fax
- 8024536105
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BRISTOL, VT
| Name | Credential | NPI |
|---|---|---|
| JEFFREY S WULFMAN | MD | 1063401537 |
| WILLIAM HARRISON PORTER | MD | 1548246911 |
| JENNIFER R WISDOM-BEHOUNEK | MD | 1497858278 |
| DR. MARIAN RUTH BOUCHARD | MD | 1891832457 |
| NATASHA ALEXA WITHERS | D.O. | 1285892299 |
| RENEE BRATSPIS | M.D. | 1760758734 |
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.