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Davin Wilson Chark, MD
Student in an Organized Health Care Education/Training Program in Orange, California
NPI 1790938306

Davin Wilson Chark is a Student in an Organized Health Care Education/Training Program based in Garden Grove, CA. Davin Wilson Chark practices in Orange, CA and has the professional credentials of MD. The NPI Number for Davin Wilson Chark is 1790938306 and holds a License No. (California).

The current practice location address for Davin Wilson Chark is 101 The City Dr S, Orange, CA and can be reached out via phone at 714-456-5753 and via fax at 714-456-5747.

Location: 101 The City Dr S, Orange, CA, 92840-4471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790938306
Provider Name
Davin Wilson Chark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 The City Dr S, Orange, CA, 92840-4471
Phone Number
714-456-5753
Fax Number
714-456-5747
Provider Enumeration Date
10/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 The City Dr S
City
Orange
State
California
Zip
92868-3201
Phone Number
714-456-5753
Fax Number
714-456-5747
person
Provider Business Mailing Address Details
Address
101 The City Dr S
City
Orange
State
California
Zip
92868-3201
Phone Number
714-456-5753
Fax Number
714-456-5747
person
Provider's Taxonomy Details 1
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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