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1073554242
RICHARD WAYNE CLARK
LOS ANGELES, CA
NPI
1073554242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CA G23111)
Enumeration Date
2006-06-09
Last Update Date
2011-07-06
Business Address
-- RICHARD WAYNE CLARK M.D.
1245 WILSHIRE BLVD
LOS ANGELES, CA 90017-4810
Phone number: 213-977-1215
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Mailing Address
-- RICHARD WAYNE CLARK M.D.
1245 WILSHIRE BLVD
LOS ANGELES, CA 90017-4806
Phone number: 213-977-1215
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