Clark, Dory
Clark, Dory is an individual health care provider with primary practice located at 3860 Calle Fortunada Ste 200, San Diego CA 92123-4800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clark, Dory can be contacted via phone (858) 636-4300.Contact Information
Primary practice address
3860 Calle Fortunada Ste 200
San Diego CA 92123-4800
Phone: (858) 636-4300
Fax: (858) 636-4319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 16260 | California |
Profile Details
| NPI number | 1063561710 |
|---|---|
| LBN Legal business name | Clark, Dory |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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