location
search-icon
person
Dr. Jack Prow Clark, MD
Family Medicine Physician in Syracuse, Indiana
NPI 1346320140

Jack Prow Clark is a Family Medicine Physician based in Syracuse, IN. Jack Prow Clark practices in Syracuse, IN and has the professional credentials of MD. The NPI Number for Jack Prow Clark is 1346320140 and holds a License No. 01017687 (Indiana).

The current practice location address for Jack Prow Clark is 518 Ems D15 Ln, Syracuse, IN and can be reached out via phone at 574-457-3292.

Location: 518 Ems D15 Ln, Syracuse, IN, 46567-8026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346320140
Provider Name
Jack Prow Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
518 Ems D15 Ln, Syracuse, IN, 46567-8026
Phone Number
574-457-3292
Fax Number
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01017687B 01 IN CSR CERTIFICATE
AC2674922 01 IN BNDD NUMBER
01017687A 01 IN MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
518 Ems D15 Ln
City
Syracuse
State
Indiana
Zip
46567-8026
Phone Number
574-457-3292
Fax Number
person
Provider Business Mailing Address Details
Address
518 Ems D15 Ln
City
Syracuse
State
Indiana
Zip
46567-8026
Phone Number
574-457-3292
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01017687 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.