Individual
CHRISTOPHER MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A-C
Contact information
Practice address
350 TERRACINA BLVD, REDLANDS, CA 92373-4850
(909) 335-5500
(909) 335-6490
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17012
CA
Other
Enumeration date
08/22/2006
Last updated
07/24/2024
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