Richard Andrew Clark M.D

NPI 1073718052 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1073718052
Gender Male
Enumeration Date 06/19/2007
Last Updated 12/04/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
101 BODIN CIR
TRAVIS AFB CA, 94535-1809, US
Phone (707) 423-2300
Fax
Business Location
101 BODIN CIR
TRAVIS AFB CA, 94535-1809, US
Phone (707) 423-2300
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Richard Andrew Clark M.D NPI is 1073718052, taxonomy code is 390200000X Richard Andrew Clark M.D physically located at 101 Bodin Cir, Travis Afb CA, 94535-1809. NPI Number Richard Andrew Clark M.D has the Individual type.

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1073718052 NPI number is provided on an as is basis without warranty of any kind. 1073718052 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Andrew Clark M.D are for informational purposes only.