Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY VAUGHAN CLARK, D.O.
Active Sole ProprietorDR. TIMOTHY VAUGHAN CLARK, D.O. is a Critical Care Medicine healthcare provider located in MARYSVILLE, California. NPI 1932420320 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · MARYSVILLE, CA
Registration Details
- NPI Number
- 1932420320
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2010 (16.188892830948 yrs)
- Last Updated
- Feb 24, 2016
- Licenses
-
20A13845 (CA)OTO13674 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
726 4TH STMARYSVILLE, CA, 959015656Browse CA providers · Browse ZIP 95901
- Phone
- 5307434377
- Fax
- 5307496616
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Internal Medicine
Other Critical Care Medicine Providers in MARYSVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| SUKHRAJ BALHAN | MD | 1194169292 |
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.