Individual
DR. JOHN J CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
75 N BROADWAY, CHULA VISTA, CA 91910-1417
(619) 427-5367
Mailing address
2952 W CANYON AVE, SAN DIEGO, CA 92123-4652
(619) 884-5225
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
7434
CA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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