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Douglas L Clark, MD
Radiation Oncology Physician in Grand Island, Nebraska
NPI 1801982939

Douglas L Clark is a Radiation Oncology Physician based in Grand Island, NE and is specialized in Radiation Oncology. Douglas L Clark practices in Grand Island, NE and has the professional credentials of MD. The NPI Number for Douglas L Clark is 1801982939 and holds a License No. 26077 (Nebraska).

The current practice location address for Douglas L Clark is 2116 W Faidley Ave, Grand Island, NE and can be reached out via phone at 308-398-5996 and via fax at 308-398-5333.

Location: 2116 W Faidley Ave, Grand Island, NE, 68803-4678
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801982939
Provider Name
Douglas L Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2116 W Faidley Ave, Grand Island, NE, 68803-4678
Phone Number
308-398-5996
Fax Number
308-398-5333
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200134920A 05 OK
institution
Provider Business Practice Location Address Details
Address
2116 W Faidley Ave
City
Grand Island
State
Nebraska
Zip
68803-4678
Phone Number
308-398-5996
Fax Number
308-398-5333
person
Provider Business Mailing Address Details
Address
2116 W Faidley Ave
City
Grand Island
State
Nebraska
Zip
68803-4678
Phone Number
308-398-5996
Fax Number
308-398-5333
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
26077 (Oklahoma)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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