Individual provider · Type 1 NPI
Ralph Warner Clark, MD
Addiction Medicine (Preventive Medicine) Physician · Loma Linda, CA
NPI number
1336317239
Active
Practice location
11201 Benton St, 116A/MAIN
Loma Linda, CA 92357-1000
Fax (909) 422-3168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | A111705 (CA) |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | A111705 (CA) |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
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About NPI 1336317239
Ralph Warner Clark, MD's National Provider Identifier is 1336317239, issued on Feb 13, 2008. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 13, 2023.