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Individual

AIDAN M CLARKE

Active
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Individual

AIDAN M CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G64292
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
G64292
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
G64292
CA

Other

Enumeration date
07/28/2006
Last updated
07/28/2022
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