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Mr. John Clark, RN
General Practice Registered Nurse in Bishop, California
NPI 1689728032

John Clark is a General Practice Registered Nurse based in Bishop, CA and is specialized in General Practice. John Clark practices in Bishop, CA and has the professional credentials of RN. The NPI Number for John Clark is 1689728032 and holds a License No. RN629103 (California).

The current practice location address for John Clark is 52 N Tu Su Ln, Bishop, CA and can be reached out via phone at 760-873-8461 and via fax at 760-873-3530.

Location: 52 N Tu Su Ln, Bishop, CA, 93514-9610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689728032
Provider Name
John Clark
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
52 N Tu Su Ln, Bishop, CA, 93514-9610
Phone Number
760-873-8461
Fax Number
760-873-3530
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659433191 01 CA ORGANIZATION NPI #
institution
Provider Business Practice Location Address Details
Address
52 N Tu Su Ln
City
Bishop
State
California
Zip
93514-8058
Phone Number
760-873-8461
Fax Number
760-873-3530
person
Provider Business Mailing Address Details
Address
52 N Tu Su Ln
City
Bishop
State
California
Zip
93514-8058
Phone Number
760-873-8461
Fax Number
760-873-3530
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
RN629103 (California)
Definition
Definition to come...
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