Dr RANDALL A ROARK NP is a male medical professional, specializing in Nurse Practitioner. He graduated in 2005 from University Of California, San Francisco School Of Medicine.
IMPERIAL BEACH COMMUNITY CLINIC
949 PALM AVE
IMPERIAL BEACH
CA
919321503
Tel: 6194293733
| Npi | 1447312178 |
| Pac Id | 8820192842 |
| Professional Enrollment Id | I20070402000252 |
| Last Name | ROARK |
| First Name | RANDALL |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | NP |
| Medical School Name | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | IMPERIAL BEACH COMMUNITY CLINIC |
| Group Practice Pac Id | 6709867880 |
| Number Of Group Practice Members | 9 |
| Line 1 Street Address | 949 PALM AVE |
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| City | IMPERIAL BEACH |
| State | CA |
| Zip Code | 919321503 |
| Phone Number | 6194293733 |
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| Professional Accepts Medicare Assignment | Y |
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