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Organization

JOHN H CLANCY DO AND TARA LEIGH CLANCY DO MEDICAL CORPORATION

Active
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Organization

JOHN H CLANCY DO AND TARA LEIGH CLANCY DO MEDICAL CORPORATION

Active
Other names
Clancy Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN HAROLD CLANCY D.O. (PRESIDENT)
(760) 305-1900
Entity
Organization

Contact information

Practice address
2375 S MELROSE DR, VISTA, CA 92081-8788
(760) 305-1900
(760) 305-1910
Mailing address
2375 S MELROSE DR, VISTA, CA 92081-8788
(760) 305-1900
(760) 305-1910

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9614
CA
208000000X
Pediatrics Physician
9695
CA

Other

Enumeration date
05/12/2014
Last updated
11/19/2018
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