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Austin Clark

NPI 1669215042 · on the registry since 2024

Practice

Address
715 Congress Park Dr
Washington Township, OH 45459
Phone
(937) 660-7638

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio