Individual provider · Type 1 NPI

Johnson Jack Clark Jr., MD

Internal Medicine Physician · Santa Rosa, CA

NPI number 1104976810 Active

Practice location

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Call (707) 571-4000 Map

Mailing address

1800 Harrison St Fl 7
Oakland, CA 94612-3429

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XG85287 (CA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1104976810

Johnson Jack Clark Jr., MD's National Provider Identifier is 1104976810, issued on Jan 12, 2007. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.