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Trezah Atieno Clark

  • Female

Medical Specialty

Professional ID

  • NPI: 1518358027
  • PECOS ID: 6002134178
  • Enrollment ID: I20150422000059
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2014

Hospital Service

  • Hospital CCN1: 050084
  • Business Name (LBN)1: St Josephs Medical Center Of Stockton

Medical Practices

  • Organization Name: Dhp Anesthesia Medical Group Inc
  • Group Practice ID assigned by PECOS: 7113176421
  • Number of Group Practice member: 54

Location

  • Address1: 1800 N California St
  • Address2:
  • City: Stockton
  • State: California
  • Zip Code: 95204
  • Phone Number: (209)943-2000

Medicare

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