person
Jay Christian Clark
Military Health Care Provider in Tripler Amc, Hawaii
NPI 1619664505

Jay Christian Clark is a Military Health Care Provider based in Tripler Amc, HI. Jay Christian Clark practices in Tripler Amc, HI. The NPI Number for Jay Christian Clark is 1619664505 and holds a License No. (Hawaii).

The current practice location address for Jay Christian Clark is 1 Jarrett White Rd, Tripler Amc, HI and can be reached out via phone at 888-683-2778.

Location: 1 Jarrett White Rd, Tripler Amc, HI, 96859-5001
person
Provider Profile Details
NPI Number
1619664505
Provider Name
Jay Christian Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Jarrett White Rd, Tripler Amc, HI, 96859-5001
Phone Number
888-683-2778
Fax Number
Provider Enumeration Date
04/20/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1 Jarrett White Rd
City
State
Zip
96859-5001
Phone Number
888-683-2778
Fax Number
person
Provider Business Mailing Address Details
Address
1 Jarrett White Rd
City
State
Zip
96859-5001
Phone Number
888-683-2778
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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