Damon H Clark MD

NPI 1619138948 - Surgery - 208600000X

NPI Details
NPI 1619138948
Gender Male
Enumeration Date 06/19/2008
Last Updated 11/14/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
LOS ANGELES CA, 90033-5313, US
Phone (323) 865-1241
Business Location
PO BOX 31309
LOS ANGELES CA, 90031-0309, US
Phone (323) 865-1241
Taxonomy Code 208600000X
License State Michigan
License Number 4301093507
Remove 1619138948 NPI Number

According to our database, Damon H Clark MD NPI is 1619138948, taxonomy code is 208600000X and license number is 4301093507, license state is located at Michigan. Damon H Clark MD physically located at 1500 San Pablo St, Los Angeles CA, 90033-5313. NPI Number Damon H Clark MD has the Individual type.

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1619138948 NPI number is provided on an as is basis without warranty of any kind. 1619138948 is maintained by the National Plan & Provider Enumeration System. The contents of Damon H Clark MD are for informational purposes only.