| Curtis R Clark Ii, MD | |
|
800 Wheeling Ave, Glen Dale, WV 26038-3357 | |
| (304) 843-3270 | |
| Not Available |
| Full Name | Curtis R Clark Ii |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 800 Wheeling Ave, Glen Dale, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962449017 | NPI | - | NPPES |
| 2547944 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35087466 (Ohio) | Primary |
| 207L00000X | Anesthesiology | 21517 (West Virginia) | Secondary |
| Entity Name | Adena Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Curtis R Clark Ii, MD 299 Township Road 1214, Ironton, OH 45638-8809 Ph: (304) 673-1020 | Curtis R Clark Ii, MD 800 Wheeling Ave, Glen Dale, WV 26038-3357 Ph: (304) 843-3270 |
Dr. Amanda Lee Deskins, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202 | |
Jesus M Maysonet, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202 | |
Dr. Matthew Joseph Watkins, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 |