Edgar H Clark M.D.

NPI 1003847872 - Family Medicine - 207Q00000X

NPI Details
NPI 1003847872
Gender Male
Enumeration Date 07/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6585 CLARK RD
SUITE 360
PARADISE CA, 95969-3500, US
Phone (530) 877-8855
Fax
Business Location
7056B SKYWAY
PARADISE CA, 95969-3900, US
Phone (530) 872-6650
Fax (530) 872-6653
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G34799
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According to our database, Dr. Edgar H Clark M.D. NPI is 1003847872, taxonomy code is 207Q00000X and license number is G34799, license state is located at California. Edgar H Clark M.D. physically located at 6585 Clark Rd, Paradise CA, 95969-3500. NPI Number Edgar H Clark M.D. has the Individual type.

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1003847872 NPI number is provided on an as is basis without warranty of any kind. 1003847872 is maintained by the National Plan & Provider Enumeration System. The contents of Edgar H Clark M.D. are for informational purposes only.