Clark, Stuart G.

Clark, Stuart G. is an sole proprietor health care provider with primary practice located at 1501 Kings Hwy Dept. Of Pediatrics, Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Clark, Stuart G. can be contacted via phone (318) 675-8600.

Contact Information

Primary practice address
1501 Kings Hwy Dept. Of Pediatrics Shreveport LA 71103-4228
Phone: (318) 675-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 302997 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1831532555
LBN Legal business name Clark, Stuart G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2013
Last updated Dec 27th, 2016 - about 9 years 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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