Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Malcolm Clark Jr., MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1124301106

Dr. Charles Malcolm Clark Jr., MD is an Endocrinology, Diabetes & Metabolism Physician in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2802 Lafayette Rd Ste 13 Eagledale Health Center
Indianapolis, IN 46222-2112
Phone: (317) 923-7510
Fax: (317) 923-7518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 01020086A (IN)

Record details

NPI number1124301106
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 26, 2011
Last updated in NPPESSeptember 26, 2011

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