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Search › California › 207Q00000X

Peter Clark, M.D

NPI 1528113628 · on the registry since 2007 · sole proprietor

Practice

Address
85 Sierra Park Rd
Mammoth Lakes, CA 93546
Phone
(760) 934-2551
Fax
(760) 924-4081
Organisation at this address
Pact
Kimdoc Llc
Pact Out Patient
Araya Medicine Inc
Ayodele Okunola Md Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-03-07

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