Organization
AIDAN M CLARKE, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIDAN M CLARKE MD (OWNER)
(831) 998-7801
Entity
Organization
Contact information
Practice address
951 BLANCO CIR, STE C, SALINAS, CA 93901-4451
(831) 424-4878
(831) 424-4880
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G64292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G642920
BLUE SHIELD
CA
Enumeration date
11/15/2007
Last updated
01/07/2010
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