# STEPHEN J. CLARK, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801938881
- **Authorized official:** STEPHEN J. CLARK M.D. (PRESIDENT)
- **Authorized official phone:** (707) 825-7765

## Contact information

- **Practice address:** 3798 JANES RD, SUITE 7, ARCATA, CA 95521-4753
- **Practice address phone:** (707) 825-7765
- **Mailing address:** PO BOX 496084, REDDING, CA 96049-6084
- **Mailing address phone:** (530) 241-0473
- **Mailing address fax:** (530) 241-5377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | G86858 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 02/18/2008