DWIGHT E CLARK

JOSEPH R MARTEL MD INC

Dr DWIGHT E CLARK is a male medical professional, specializing in Optometry. He graduated in 1972 from Southern California College Of Optometry.

Contact

JOSEPH R MARTEL MD INC

11216 TRINITY RIVER DR
RANCHO CORDOVA
CA
956702968

Tel: 9166316161

DWIGHT E CLARK Information

Npi 1043321169
Pac Id 4183812043
Professional Enrollment Id I20101220001104
Last Name CLARK
First Name DWIGHT
Middle Name E
Suffix
Gender M
Credential
Medical School Name SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year 1972
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name JOSEPH R MARTEL MD INC
Group Practice Pac Id 0648225904
Number Of Group Practice Members 3
Line 1 Street Address 11216 TRINITY RIVER DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RANCHO CORDOVA
State CA
Zip Code 956702968
Phone Number 9166316161
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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