Individual
MR. ISAIAH JAMES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2011
Mailing address
3217 GRISWOLD AVE, BRONX, NY 10465-1370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD489887
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2019
Last updated
09/10/2025
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