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Dr. Brock Stephen Clark, DO
Emergency Medicine Physician in Charlotte, North Carolina
NPI 1336600170

Brock Stephen Clark is a Emergency Medicine Physician based in Charlotte, NC. Brock Stephen Clark practices in Charlotte, NC and has the professional credentials of DO. The NPI Number for Brock Stephen Clark is 1336600170 and holds a License No. (North Carolina).

The current practice location address for Brock Stephen Clark is 2001 Vail Ave, Charlotte, NC and can be reached out via phone at 704-304-5000.

Location: 2001 Vail Ave, Charlotte, NC, 28205-1116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336600170
Provider Name
Brock Stephen Clark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2001 Vail Ave, Charlotte, NC, 28205-1116
Phone Number
704-304-5000
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Vail Ave
City
Charlotte
State
North Carolina
Zip
28207-1248
Phone Number
704-304-5000
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Vail Ave
City
Charlotte
State
North Carolina
Zip
28207-1248
Phone Number
704-304-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
2022-01455 (North Carolina)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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