Individual provider · Type 1 NPI
John Charles Clark, MD
Therapeutic Radiology Physician · Redding, CA
NPI number
1174664890
Active
Practice location
1325 Bambury Ct
Redding, CA 96001-1339
Fax (530) 241-6847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Therapeutic Radiology Physician Primary | 2085R0203X | A24026 (CA) |
Therapeutic Radiology Physician: Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
About NPI 1174664890
John Charles Clark, MD's National Provider Identifier is 1174664890, issued on Feb 8, 2007. The primary taxonomy on file is Therapeutic Radiology Physician (2085R0203X), and the practice location is in Redding, CA. The record was last updated on Jul 8, 2007.