Jason Christopher Clark, M.D.

NPI #1104951086 in Tacoma, Washington

Provider Information

NPI Number: 1104951086
Entity Type: Individual
Name: Jason Christopher Clark, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Feb 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9040 REID ST
Address 2: MADIGAN ARMY MEDICAL CENTER, ATTN MCHJ-EDME
City: Tacoma
State: Washington
ZIP Code: 98431-1100
Phone: (253) 968-0354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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