Organization
JULIE CLARK, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M JONES (INSURANCE BILLER)
(707) 823-4695
Entity
Organization
Contact information
Practice address
1550 PROFESSIONAL DR, PETALUMA, CA 94954-6655
(707) 792-2229
(707) 729-1072
Mailing address
1550 PROFESSIONAL DR, PETALUMA, CA 94954-6655
(707) 792-2229
(707) 729-1072
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A98041
CA
Other
Enumeration date
11/03/2008
Last updated
11/22/2008
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