Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN CHARLES CLARK, M.D.
Active Sole ProprietorDR. JOHN CHARLES CLARK, M.D. is a 2085R0203X healthcare provider located in REDDING, California. NPI 1174664890 is currently active in the NPPES registry. Verify at CMS.
2085R0203X · REDDING, CA
Registration Details
- NPI Number
- 1174664890
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2007 (19.530231429839 yrs)
- Last Updated
- Jul 8, 2007
- License
-
A24026 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1325 BAMBURY CTREDDING, CA, 960011339Browse CA providers · Browse ZIP 96001
- Phone
- 5302464971
- Fax
- 5302416847
- Primary Specialty
-
2085R0203X
2085R0203X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.