JACK LEROY STCLAIR

SONORA, CA
NPI1184681298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: CA  a76427)
Enumeration Date2006-05-01
Last Update Date2007-07-08
Business Address
-- JACK LEROY STCLAIR M.D.
14540 MONO WAY
SONORA, CA 95370-8858
Phone number: 209-743-7084
Mailing Address
-- JACK LEROY STCLAIR M.D.
PO BOX 4264
SONORA, CA 95370-4264
Phone number: