person
Mr. Steven J Clark, MD
Plastic and Reconstructive Surgery Physician in Mount Vernon, Illinois
NPI 1154353720

Steven J Clark is a Plastic and Reconstructive Surgery Physician based in Mount Vernon, IL and is specialized in Plastic and Reconstructive Surgery. Steven J Clark practices in Mount Vernon, IL and has the professional credentials of MD. The NPI Number for Steven J Clark is 1154353720 and holds a License No. 036086955 (Illinois).

The current practice location address for Steven J Clark is 2 Good Samaritan Way, Mount Vernon, IL and can be reached out via phone at 618-899-3980 and via fax at 618-899-4793.

Location: 2 Good Samaritan Way, Mount Vernon, IL, 62864-2408
person
Provider Profile Details
NPI Number
1154353720
Provider Name
Steven J Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2 Good Samaritan Way, Mount Vernon, IL, 62864-2408
Phone Number
618-899-3980
Fax Number
618-899-4793
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
257001700 05 FL
institution
Provider Business Practice Location Address Details
Address
2 Good Samaritan Way
City
State
Zip
62864-2408
Phone Number
618-899-3980
Fax Number
618-899-4793
person
Provider Business Mailing Address Details
Address
2 Good Samaritan Way
City
State
Zip
62864-2408
Phone Number
618-899-3980
Fax Number
618-899-4793
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
036086955 (Illinois)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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