Individual
MS. JONNA D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2140
(206) 987-3866
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2140
(206) 987-3866
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
042-0011167
VT
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD 60012888
WA
Other
Enumeration date
09/01/2006
Last updated
03/04/2011
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