JOHNSON JACK CLARK

SANTA ROSA, CA
NPI1104976810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  G85287)
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
JOHNSON JACK CLARK MD
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-571-4000
Mailing Address
JOHNSON JACK CLARK MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262
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