DR. Bhavishya Surapaneni Clark, M.D.

NPI #1144677691 in San Luis Obispo, California

Provider Information

NPI Number: 1144677691
Entity Type: Individual
Name: DR. Bhavishya Surapaneni Clark, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: May 14, 2016
Last Updated: Oct 4, 2022

Practice Location

Address: 35 CASA ST STE 130
City: San Luis Obispo
State: California
ZIP Code: 93405-1887
Phone: (805) 541-1422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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