Individual
JASON CHRISTOPHER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 REID ST, MADIGAN ARMY MEDICAL CENTER, ATTN MCHJ-EDME, TACOMA, WA 98431-1100
(253) 968-0354
(253) 968-5926
Mailing address
9040 REID ST, MADIGAN ARMY MEDICAL CENTER, ATTN MCHJ-EDME, TACOMA, WA 98431-1100
(253) 968-0354
(253) 968-5926
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24024
NE
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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