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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Brent E. Clark MD · Brent Edward Clark | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Brent | [sources] | |||
| ID Number | MD042270L | [sources] | |||
| Last name | Clark | [sources] | |||
| Middle name | E. · Edward | [sources] | |||
| NPI | 1902874456 | [sources] | |||
| Title | M.D. · MD | [sources] | |||
| Position | FAMILY PRACTICE (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | Allegheny, PA · MORGANTOWN, WV 26507, USA · P O BOX 1000, #38405-068, MORGANTOWN, WV 26507 | [sources] | |||
| Last change | Last processed | First seen | |||
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
People and companies excluded from Federally funded health care programs
United States · OIG
us-medpa-63f0eed782cdb4118bfe78e0dbfa3434b2792f81 · us-medpa-f930d193c537359852edcf6cc08578372302a62b · us-fed-excl-brent-edward-clark-26507-morgantownFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| ALLEGHENY, PA · Allegheny, PA | United States | |
| United States | OPM | Reciprocal | - |
| United States | Department of Human Services | - | - |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |