Dr Bliss Watson Clark Ii, MD | |
1262 E North St, Manteca, CA 95336-4962 | |
(209) 214-7053 | |
(209) 523-0764 |
Full Name | Dr Bliss Watson Clark Ii |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 1262 E North St, Manteca, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447258272 | NPI | - | NPPES |
033099502 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | G59282 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Bliss Watson Clark Ii, MD 1541 Florida Ave, Suite 200, Modesto, CA 95350-4423 Ph: (209) 214-7053 | Dr Bliss Watson Clark Ii, MD 1262 E North St, Manteca, CA 95336-4962 Ph: (209) 214-7053 |
Dr. Ronald Ryo Yamada, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1191 E Yosemite Ave, Ste 203, Manteca, CA 95336 Phone: 916-989-1887 Fax: 916-989-1887 | |
Jeffrey O Mcgillicuddy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1234 E North St, Suite 103, Manteca, CA 95336 Phone: 209-647-3101 Fax: 209-529-8378 |