IndividualActive
John Clark
NPI 1164625653 · Orthopaedic Surgery Physician · Bath, ME
Provider details
- NPI number
- 1164625653
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 016756 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
111 Whiskeag Rd
Bath, ME 04530-4127
Phone: (909) 435-0066
Approximate (ZIP-level) locationGet directions
Mailing address
111 Whiskeag Rd
Bath, ME 04530-4127
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.