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Individual

DOLPHE SCOTT CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
152 PIONEER LN, STE G, BISHOP, CA 93514-2563
(760) 872-2244
(760) 872-2245
Mailing address
152 PIONEER LN, STE G, BISHOP, CA 93514-2563
(760) 872-2244
(760) 872-2245

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C27196
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C271960
CA
Enumeration date
11/30/2007
Last updated
11/30/2007
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