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

Glenn L. Clark, MD

Individual provider Diagnostic Radiology Physician · NPI 1093700320

Glenn L. Clark, MD is a Diagnostic Radiology Physician in Marianna, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4250 Hospital Dr
Marianna, FL 32446-1917
Phone: (850) 718-2597
Fax: (850) 718-2551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME42096 (FL)

Record details

NPI number1093700320
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2005
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 1128, Jennings, LA 70546-1128

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