Individual
JOHN O'BRIEN CLARKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C143081
CA
207R00000X
Internal Medicine Physician
D58832
MD
207RG0100X
Gastroenterology Physician
Primary
C143081
CA
207RG0100X
Gastroenterology Physician
D58832
MD
208M00000X
Hospitalist Physician
D58832
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105367
AMERIGROUP
MD
01
—
240553
KAISER
MD
05
—
411750600
—
MD
Enumeration date
11/01/2006
Last updated
04/28/2024
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