Individual
DR. ISABEL CARLTON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3298
(714) 456-7890
Mailing address
2290 BOYSON LN, SAINT HELENA, CA 94574-2361
(843) 345-1365
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
A179496
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2016
Last updated
07/17/2023
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