IndividualActive
Charles Clark, MD
NPI 1043205461 · Orthopaedic Surgery Physician · Pine Bluff, AR
Provider details
- NPI number
- 1043205461
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- N8106 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1609 W 40th Ave
Ste 501
Pine Bluff, AR 71603-6329
Phone: (870) 534-3449
Fax: (870) 535-6730
Approximate (ZIP-level) locationGet directions
Mailing address
1609 W 40th Ave
Pine Bluff, AR 71603-6329
Registry dates
- Enumerated
- 2005-09-12
- Last updated
- 2009-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.