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1093704751
MELVIN JEROME CLARK
PHOENIX, AZ
NPI
1093704751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: MN 45197)
Enumeration Date
2005-10-17
Last Update Date
2012-08-13
Business Address
Dr. MELVIN JEROME CLARK M.D.
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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Mailing Address
Dr. MELVIN JEROME CLARK M.D.
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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