Search › California › 207W00000X
Jack Clark, M.D
NPI 1265571608 · on the registry since 2007 · sole proprietor
Practice
- Address
- 7112 N Fresno St
Suite 100
Fresno, CA 93720 - Phone
- (559) 439-1620
- Fax
- (559) 432-6579
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California