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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