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Charles Clark
NPI 1780913640 · on the registry since 2009
Practice
- Address
- Bldg. H 2005 Knight Lane Attn: Medical Staff Services
Navy Medicine Support Command
Jacksonville, FL 92055 - Phone
- (858) 361-9254
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Sex
- Male
- Record last updated
- 2009-12-23
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 Florida