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Allen R Clark, MD
Obstetrics & Gynecology Physician in South Bend, Indiana
NPI 1891013967

Allen R Clark is a Obstetrics & Gynecology Physician based in South Bend, IN. Allen R Clark practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Allen R Clark is 1891013967 and holds a License No. 01074111 (Indiana).

The current practice location address for Allen R Clark is 515 N Lafayette Blvd, South Bend, IN and can be reached out via phone at 574-232-2037 and via fax at 574-232-1420.

Location: 515 N Lafayette Blvd, South Bend, IN, 46601-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891013967
Provider Name
Allen R Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
515 N Lafayette Blvd, South Bend, IN, 46601-1003
Phone Number
574-232-2037
Fax Number
574-232-1420
Provider Enumeration Date
05/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01074111A 01 IN LICENSE
201233020 05 IN
institution
Provider Business Practice Location Address Details
Address
515 N Lafayette Blvd
City
South Bend
State
Indiana
Zip
46601-1003
Phone Number
574-232-2037
Fax Number
574-232-1420
person
Provider Business Mailing Address Details
Address
515 N Lafayette Blvd
City
South Bend
State
Indiana
Zip
46601-1003
Phone Number
574-232-2037
Fax Number
574-232-1420
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
01074111 (Indiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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