person
Charles S Clark
Medical Physician Assistant in Jacksonville, Florida
NPI 1780913640

Charles S Clark is a Medical Physician Assistant based in San Diego, FL and is specialized in Medical. Charles S Clark practices in Jacksonville, FL. The NPI Number for Charles S Clark is 1780913640 and holds a License No. (Florida).

The current practice location address for Charles S Clark is Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Jacksonville, FL and can be reached out via phone at 858-361-9254. You can also correspond with Charles S Clark through the mailing address at 3986 SHIELDS ST, SAN DIEGO, CA - 92124-3314 (mailing address contact number: 858-361-9254).

Location: Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Jacksonville, FL, 92124-3314
person
Provider Profile Details
NPI Number
1780913640
Provider Name
Charles S Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Jacksonville, FL, 92124-3314
Phone Number
858-361-9254
Fax Number
Provider Enumeration Date
12/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Bldg. H 2005 Knight Lane Attn: Medical Staff Services
City
State
Zip
92055-0140
Phone Number
858-361-9254
Fax Number
person
Provider Business Mailing Address Details
Address
Bldg. H 2005 Knight Lane Attn: Medical Staff Services
City
State
Zip
92055-0140
Phone Number
858-361-9254
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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