Samuel J. Clark, M.d., Inc.

NPI 1124079793 - Internal Medicine - 207RP1001X

NPI Details
NPI 1124079793
Enumeration Date 05/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SAMUEL J. SAMUEL
Position PRESIDENT
Phone (619) 218-5688
Fax (619) 795-3991
Practice Location
1940 EL CAJON BLVD
SAN DIEGO CA, 92104-1005, US
Phone (619) 218-5688
Fax (619) 795-3991
Business Location
1940 EL CAJON BLVD
SAN DIEGO CA, 92104-1005, US
Phone (619) 218-5688
Fax (619) 795-3991
Toxanomy
Taxonomy Code 207RP1001X
License State
License Number
Remove 1124079793 NPI Number
 

According to our database, Samuel J. Clark, M.d., Inc. NPI is 1124079793, taxonomy code is 207RP1001X Samuel J. Clark, M.d., Inc. physically located at 1940 El Cajon Blvd, San Diego CA, 92104-1005. NPI Number 1033115704 has the healthcare provider type.

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1124079793 NPI number is provided on an as is basis without warranty of any kind. 1124079793 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel J. Clark, M.d., Inc. are for informational purposes only.