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Clelia Alexandra Clark, MD
Emergency Medicine Physician in Santa Rosa, California
NPI 1295294163

Clelia Alexandra Clark is a Emergency Medicine Physician based in Sacramento, CA. Clelia Alexandra Clark practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Clelia Alexandra Clark is 1295294163 and holds a License No. (California).

The current practice location address for Clelia Alexandra Clark is 1165 Montgomery Dr, Santa Rosa, CA and can be reached out via phone at 707-525-5300.

Location: 1165 Montgomery Dr, Santa Rosa, CA, 95817-2201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295294163
Provider Name
Clelia Alexandra Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1165 Montgomery Dr, Santa Rosa, CA, 95817-2201
Phone Number
707-525-5300
Fax Number
Provider Enumeration Date
03/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1165 Montgomery Dr
City
Santa Rosa
State
California
Zip
95405-4801
Phone Number
707-525-5300
Fax Number
person
Provider Business Mailing Address Details
Address
1165 Montgomery Dr
City
Santa Rosa
State
California
Zip
95405-4801
Phone Number
707-525-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
A176361 (California)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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