Search › California › 106S00000X
Madison Clark
NPI 1487374542 · on the registry since 2022
Practice
- Address
- 1212 Marsh St Ste 1
San Luis Obispo, CA 93401 - Phone
- (503) 574-5100
- Clinicians at this address
- 42
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-30
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