Individual provider · Type 1 NPI

Shannon Clark, MD

Family Medicine Physician · Sacramento, CA

NPI number 1295922912 Active

Practice location

4860 Y St, Suite 2500
Sacramento, CA 95817-2307

Fax (916) 734-6666

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	A103021 (CA)
Obstetrics Physician	207VX0000X	A103021 (CA)
Behavioral Neurology & Neuropsychiatry Physician	2084B0040X	A103121 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1295922912

Shannon Clark, MD's National Provider Identifier is 1295922912, issued on Sep 26, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Sacramento, CA. The record was last updated on Jul 17, 2012.