D. SCOTT CLARK,M.D.,INC.
Radiology at Pioneer Ln, Bishop, CA

License number
California C27196
Category
Radiology
Type
Surgery
Owner
Name: D. SCOTT CLARK M.D.
Title: PRES.
Phone: (760) 872-2244
Address
Address
152 Pioneer Ln, Bishop, CA 93514
National Provider ID: 1922155779
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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D. SCOTT CLARK, M.D., INC

152 Pioneer Ln #G, Bishop, CA 93514

Registration:
May 5, 1982
State ID:
C1072366
Business type:
Articles of Incorporation
President:
D. Scott Clark (President)
Agent:
D Scott Clark,Bishop, CA 93514 (Physical)

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