Individual
ALYSSE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6500
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6500
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A165227
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A165227
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
07/23/2024
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