Individual
DR. JONATHAN T CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 52ND ST, DEPARTMENT OF ANESTHESIOLOGY, OAKLAND, CA 94609-1809
(510) 428-3070
(510) 450-5853
Mailing address
PO BOX 45731, SAN FRANCISCO, CA 94145-0731
(800) 585-0868
(858) 244-0150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G39986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G399860
—
CA
Enumeration date
04/25/2006
Last updated
12/29/2015
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