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1023052545
CHAD LEROY CLARK
RIVERSIDE, CA
NPI
1023052545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A70662)
Enumeration Date
2006-06-15
Last Update Date
2008-06-13
Business Address
Dr. CHAD LEROY CLARK M.D.
3865 JACKSON ST
RIVERSIDE, CA 92503-3919
Phone number: 951-352-5666
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Mailing Address
Dr. CHAD LEROY CLARK M.D.
PO BOX 661987
ARCADIA, CA 91066-1987
Phone number: 626-447-0296
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