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MR. CLARK JOSEPH TOBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
2510 AIPARK DR, STE 301, REDDING, CA 96001-2462
(530) 242-3500
(530) 242-3546
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006677
CA

Other

Enumeration date
06/07/2017
Last updated
04/05/2019
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