Clark, Richard Andrew

Clark, Richard Andrew is an sole proprietor health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Clark, Richard Andrew can be contacted via phone (707) 423-2300.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535
Phone: (707) 423-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A145772 California

Profile Details

NPI number 1073718052
LBN Legal business name Clark, Richard Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2007
Last updated May 23rd, 2019 - about 5 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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