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Search › California › Independent Duty Corpsman

Michael Clark

NPI 1376751917 · on the registry since 2007

Practice

Address
140 Sylvester Rd
San Diego, CA 92106
Phone
(619) 553-8719
Organisation at this address
Zeiders Enterprises
Branch Dental Clinic Sub Base San Diego
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2008-02-01

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