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Glenn L. Clark, MD
Diagnostic Radiology Physician in Marianna, Florida
NPI 1093700320

Glenn L. Clark is a Diagnostic Radiology Physician based in Jennings, FL and is specialized in Diagnostic Radiology. Glenn L. Clark practices in Marianna, FL and has the professional credentials of MD. The NPI Number for Glenn L. Clark is 1093700320 and holds a License No. ME42096 (Florida).

The current practice location address for Glenn L. Clark is 4250 Hospital Dr, Marianna, FL and can be reached out via phone at 850-718-2597 and via fax at 850-718-2551.

Location: 4250 Hospital Dr, Marianna, FL, 70546-1128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093700320
Provider Name
Glenn L. Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4250 Hospital Dr, Marianna, FL, 70546-1128
Phone Number
850-718-2597
Fax Number
850-718-2551
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4250 Hospital Dr
City
Marianna
State
Florida
Zip
32446-1917
Phone Number
850-718-2597
Fax Number
850-718-2551
person
Provider Business Mailing Address Details
Address
4250 Hospital Dr
City
Marianna
State
Florida
Zip
32446-1917
Phone Number
850-718-2597
Fax Number
850-718-2551
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME42096 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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