Dr. Edgar H Clark
Family Doctor
6585 Clark Rd Suite 360
Paradise
, California 95969-3500
Dr. Edgar H Clark
Family Doctor
6585 Clark Rd Suite 360
Paradise
, California 95969-3500
(530) 872-6653
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Edgar H Clark
- 7056b Skyway
- Paradise, CA
- Zip : 95969-3900
- Fax : (530) 872-6653
- Phone : (530) 872-6650
Second Address
- Dr. Edgar H Clark
- 6585 Clark Rd Suite 360
- Paradise, CA
- Zip : 95969-3500
- Phone : (530) 877-8855
Reviews
FAQs
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Is Dr. Edgar H Clark a sole practitioner?
Is Dr. Edgar H Clark accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | G34799 | CA |
National Provider Identifier
| NPI | 1003847872 |
|---|---|
| Provider Name | Dr. Edgar H Clark |
| First Address | Paradise, CA 95969-3900 |
| Second Address | Paradise, CA 95969-3500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A46090 | (02) | CA |
| ZZZ01920Z | BLUE SHIELD (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.