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1073718052
RICHARD ANDREW CLARK
TRAVIS AFB, CA
NPI
1073718052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: CA A145772)
Enumeration Date
2007-06-19
Last Update Date
2019-05-23
Business Address
Dr. RICHARD ANDREW CLARK M.D
101 BODIN CIR
TRAVIS AFB, CA 94535
Phone number: 707-423-2300
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Mailing Address
Dr. RICHARD ANDREW CLARK M.D
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-2300
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