Michael Brady Clark, M.D. Valid NPI

Individual provider · Aerospace Medicine Physician · Spring House, PA

NPI

1700183993

Type

Individual (Type 1)

Primary specialty

Aerospace Medicine Physician (Preventive Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2083A0100X

License number

0101056149 (VA)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-02-24

Last updated

2012-06-04