Healthcare Provider Details

I. General information

NPI: 1881711182
Provider Name (Legal Business Name): MARC JOSEPH CLAPPER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 08/25/2026
Certification Date: 01/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1086 FRANKLIN ST
JOHNSTOWN PA
15905-4305
US

IV. Provider business mailing address

620 HOWARD AVE
ALTOONA PA
16601-4804
US

V. Phone/Fax

Practice location:
  • Phone: 814-534-9892
  • Fax: 814-534-9137
Mailing address:
  • Phone: 814-889-2340
  • Fax: 814-889-6001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberOS014283
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberOT011820
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: