Individual
DR. RALPH WARNER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, 116A/MAIN, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 422-3168
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 422-3168
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
A111705
CA
2083P0901X
Public Health & General Preventive Medicine Physician
A111705
CA
Other
Enumeration date
02/13/2008
Last updated
07/13/2023
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