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Organization
JC BULLER MD & AM CLARKE MD INC
Active
Organization
JC BULLER MD & AM CLARKE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUANCARLOS BULLER M.D. (PRESIDENT)
(707) 253-1393
Entity
Organization
Contact information
Practice address
1100 TRANCAS ST, SUITE 240, NAPA, CA 94558-2908
(707) 253-1393
(707) 253-9178
Mailing address
1100 TRANCAS ST, SUITE 240, NAPA, CA 94558-2908
(707) 253-1393
(707) 253-9178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A066601
CA
207Q00000X
Family Medicine Physician
A66060
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
A066601
CA
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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