Charles S Clark
Charles S Clark is a Medical Physician Assistant in Jacksonville, Florida. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address may be wrong
Bldg H 2005 Knight Lane Attn: Medical Staff Services Navy Medicine Support CommandJacksonville, FL 92055-0140
Phone: (858) 361-9254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1780913640 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 23, 2009 |
| Last updated in NPPES | December 23, 2009 |
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