STEPHANIE CLARK-POVEDA PA

MAY MEDICAL MANAGEMENT CORPORATION

Dr STEPHANIE CLARK-POVEDA PA is a female medical professional, specializing in Physician Assistant. She graduated in 2003.

Contact

MAY MEDICAL MANAGEMENT CORPORATION

1234 FOOTHILL BLVD
LA VERNE
CA
917503329

Tel: 9095964879

STEPHANIE CLARK-POVEDA PA Information

Npi 1881761120
Pac Id 1951341734
Professional Enrollment Id I20050511000448
Last Name CLARK-POVEDA
First Name STEPHANIE
Middle Name
Suffix
Gender F
Credential PA
Medical School Name OTHER
Graduation Year 2003
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MAY MEDICAL MANAGEMENT CORPORATION
Group Practice Pac Id 2668757055
Number Of Group Practice Members 6
Line 1 Street Address 1234 FOOTHILL BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LA VERNE
State CA
Zip Code 917503329
Phone Number 9095964879
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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