| NPI | 1053722124 |
|---|---|
| Other Name | CLANCY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN HAROLD CLANCY President 760-305-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 9614) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 9695) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2018-11-19 |