Brendon Matthew Clark is a student in an organized health care education training program in Indianapolis, IN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Brendon Matthew Clark NPI is 1114483336. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8127 HEATHERY PL
INDIANAPOLIS, IN
ZIP 46214-280
Phone: (317) 246-7549
The enumeration date for this NPI number is 2/12/2019 and was last updated on 2/12/2019.