Clark, David Edson

Clark, David Edson is an individual health care provider with primary practice located at 100 Foden Rd Ste 203 , South Portland ME 04106-2327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, David Edson can be contacted via phone (207) 874-1489.

Contact Information

Primary practice address
100 Foden Rd Ste 203 South Portland ME 04106-2327
Phone: (207) 874-1489
Fax: (207) 523-8590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO3002 Maine

Profile Details

NPI number 1760910863
LBN Legal business name Clark, David Edson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2017
Last updated Mar 3rd, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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