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Michael R Clark

  • Male

Medical Specialty

Professional ID

  • NPI: 1316962384
  • PECOS ID: 2365485430
  • Enrollment ID: I20050609000313
  • Credential(MD, DO, DPM): OT
  • Medical School:
  • Medical School Graduation Year: 1996

Medical Practices

  • Organization Name: Rascal Creek Physical Therapy A Professional Corporation.
  • Group Practice ID assigned by PECOS: 4981643632
  • Number of Group Practice member: 6

Location

  • Address1: 3327 M St A
  • Address2:
  • City: Merced
  • State: California
  • Zip Code: 95348
  • Phone Number: (209)722-1030

Medicare

  • Medicare Assignment: Maybe
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):