Organization
SAMUEL J. CLARK, M.D., INC.
Active
Organization
SAMUEL J. CLARK, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL J. CLARK M.D. (PRESIDENT)
(619) 218-5688
Entity
Organization
Contact information
Practice address
1940 EL CAJON BLVD, SAN DIEGO, CA 92104-1005
(619) 218-5688
(619) 795-3991
Mailing address
PO BOX 881609, SAN DIEGO, CA 92168-1609
(619) 794-2521
(619) 794-2523
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
06/25/2024
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