Individual
DR. DAVID A. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10243 GENETIC CENTER DR, SAN DIEGO, CA 92121-6310
(858) 499-2777
(858) 526-6126
Mailing address
10243 GENETIC CENTER DR, SAN DIEGO, CA 92121-6310
(858) 499-2777
(858) 526-6126
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C38985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C389850
—
CA
Enumeration date
08/04/2006
Last updated
07/02/2013
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