Organization
D. SCOTT CLARK,M.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D. SCOTT CLARK M.D. (PRES.)
(760) 872-2244
Entity
Organization
Contact information
Practice address
152 PIONEER LN, BISHOP, CA 93514-2563
(760) 872-2244
Mailing address
152 PIONEER LN, BISHOP, CA 93514-2563
(760) 872-2244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C27196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C271960
—
CA
Enumeration date
01/04/2007
Last updated
02/08/2008
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