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1124381595
IAN CLARK GLENN
SAN DIEGO, CA
NPI
1124381595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: CA A170930)
Enumeration Date
2012-06-20
Last Update Date
2024-03-05
Business Address
IAN CLARK GLENN M.D.
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
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Mailing Address
IAN CLARK GLENN M.D.
FILE 57326
LOS ANGELES, CA 90074-0001
Phone number:
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