DoctorLicensePro

Dr. Glenn L. Clark, M.D.

Diagnostic Radiology

NPI: 1093700320 Florida
76/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice15/15

21 years

Data Freshness6/10

Updated 6933 days ago

License Status

FloridaActive
License #

42096

Issued

Jun 17, 1983

Expires

Jan 31, 2027

Practice Information

Address
4250 HOSPITAL DR
MARIANNA, FL 32446
Phone
(850) 718-2597
In Practice Since
September 13, 2005
Data Last Updated
July 8, 2007

NPI Details

NPI Number
1093700320
Status
Active
Taxonomy Code
2085R0202X
Data sourced from CMS NPPES public database. Last verified: July 8, 2007. Report an error