MEDICARE: CURTIS ANTHONY CLARK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	42113	AL

General Provider Information

NPI Number	:	1225591878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURTIS ANTHONY CLARK MD

Provider Business Mailing Address
First Line	:	PO BOX 18428
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35804-8428
Country	:	US
Telephone Number	:	256-705-4224
Fax Number	:	256-705-4135

Provider Business Practice Location Address
First Line	:	1312 7TH ST SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-3340
Country	:	US
Telephone Number	:	256-705-4224
Fax Number	:	256-705-4135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	02/02/2026

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