Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Brent E. Clark MD · Brent Edward Clark | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [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 |
People and companies excluded from Federally funded health care programs
United States of America · OIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
A database of suppliers who have been excluded from participating in US federal procurement.
United States of America · GSA
us-medpa-f930d193c537359852edcf6cc08578372302a62b
· us-fed-excl-brent-edward-clark-26507-morgantown
· us-medpa-63f0eed782cdb4118bfe78e0dbfa3434b2792f81
For experts: raw data explorer
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Address | ||
---|---|---|
Full address | Country | |
ALLEGHENY, PA · Allegheny, PA | United States of America |
United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
United States of America | Department of Human Services | - | - |
United States of America | Department of Human Services | - | - |