Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN CLARK, D.O.
ActiveGeneral Surgery · LEWISTON, ME
Registration Details
- NPI Number
- 1962480459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2006 (20.344717850571 yrs)
- Last Updated
- Feb 15, 2012
- License
-
215216 (MA)
Practice Information
- Address
-
99 CAMPUS AVESUITE 303LEWISTON, ME, 042406045Browse ME providers · Browse ZIP 04240
- Phone
- 2077825424
- Fax
- 2077821136
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in LEWISTON, ME
| Name | Credential | NPI |
|---|---|---|
| DR. NINA K. EDWARDS | MD. | 1619961067 |
| DR. JAMIE PAUL LOGGINS | MD | 1346224003 |
| DR. LISA A RUTSTEIN | MD | 1497731269 |
| MS. MARSHA C O'ROURKE | M.D. | 1043297146 |
| DR. SCOTT RAYMOND JOHNSON | MD | 1104896133 |
| DR. MICHAEL ANTHONY RICCI | MD | 1326010695 |
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.