Individual
JEAN-PAUL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46-001 KAMEHAMEHA HWY, KANEOHE, HI 96744-3711
(347) 806-1776
Mailing address
46-001 KAMEHAMEHA HWY, STE 204, KANEOHE, HI 96744-3724
(347) 806-1776
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15926
HI
Other
Enumeration date
03/19/2011
Last updated
07/26/2016
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