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JULIE CLARK M.D. INC NPI 1528211638


NPI Information

NPI: 1528211638
Provider Name: JULIE CLARK, M.D., INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1550 PROFESSIONAL DR
PETALUMA, CA
ZIP 94954
Phone: (707) 792-2229
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JULIE CLARK, M.D., INC is an obstetrics gynecology in Petaluma, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JULIE CLARK, M.D., INC NPI is 1528211638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1550 PROFESSIONAL DR
PETALUMA, CA
ZIP 94954-655
Phone: (707) 792-2229
Fax: (707) 729-1072

The provider's authorized official is Linda M Jones .
The authorized official title is Insurance Biller and has the following contact phone number (707) 823-4695.

The enumeration date for this NPI number is 11/3/2008 and was last updated on 11/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyA98041CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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