Individual
BETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BODIN CIR, DAVID GRANT MEDICAL CENTER, TRAVIS AFB, CA 94535-1809
(707) 423-7705
Mailing address
1213 GRAY HAWK LN, SUISUN CITY, CA 94585-3789
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD426998
PA
Other
Enumeration date
03/05/2007
Last updated
05/24/2021
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