Organization
RONALD A CLARK M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROUCHEL V VAQUILAR (OFFICE MANAGER)
(415) 775-2795
Entity
Organization
Contact information
Practice address
909 HYDE ST, SUITE 325, SAN FRANCISCO, CA 94109-4822
(415) 775-2795
(415) 775-3025
Mailing address
909 HYDE ST, SUITE 325, SAN FRANCISCO, CA 94109-4822
(415) 775-2795
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C357640
CA
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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