Provider Demographics
NPI:1073968947
Name:CLEMENT, BARAK C (DO)
Entity type:Individual
Prefix:DR
First Name:BARAK
Middle Name:C
Last Name:CLEMENT
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Gender:M
Credentials:DO
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Mailing Address - Street 1:33 AREA BRANCH MEDICAL CLINIC
Mailing Address - Street 2:BUILDING 330305, C STREET
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92005
Mailing Address - Country:US
Mailing Address - Phone:760-725-4010
Mailing Address - Fax:760-266-6188
Practice Address - Street 1:33 AREA BRANCH MEDICAL CLINIC
Practice Address - Street 2:BUILDING 330305, C STREET
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92005
Practice Address - Country:US
Practice Address - Phone:760-725-4010
Practice Address - Fax:760-266-6188
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2023-08-24
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Provider Licenses
StateLicense IDTaxonomies
VA0102204954208D00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice