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Individual

DONALD CALLAN CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7585 EL PASO ST, LA MESA, CA 91942-4302
(619) 508-1060
Mailing address
7585 EL PASO ST, LA MESA, CA 91942-4302
(619) 508-1060

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A41987
CA

Other

Enumeration date
06/17/2014
Last updated
06/17/2014
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