Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEO JP CLARK, M.D.
ActiveLEO JP CLARK, M.D. is a Neurological Surgery healthcare provider located in MAUMEE, Ohio. NPI 1659374007 is currently active in the NPPES registry. Verify at CMS.
Neurological Surgery · MAUMEE, OH
Registration Details
- NPI Number
- 1659374007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2005 (21.23981726124 yrs)
- Last Updated
- Jan 12, 2016
- License
-
35039317C (OH)
Practice Information
- Address
-
5705 MONCLOVA RDSUITE 204MAUMEE, OH, 435371875Browse OH providers · Browse ZIP 43537
- Phone
- 4198918045
- Fax
- 4198918044
- Primary Specialty
-
Neurological Surgery
207T00000X
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.