Most Relevant Information
Provider Data
| NPI Number: | 1003262510 |
| Provider Name: | ISABEL CARLTON CLARK M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/13/2016 |
| Last Updated: | 07/17/2023 |
Provider Practice Location
101 THE CITY DR S
ORANGE
CA
928683298
Practice Location Phone/Fax
| Phone: | 7144567890 |
| Fax: |
Provider Mailing Location
2290 BOYSON LN
SAINT HELENA
CA
945742361
Provider Mailing Phone/Fax
| Phone: | 8433451365 |
| Fax: |