IndividualActive
Marshall Clark
NPI 1508330747 · Critical Care Certified Respiratory Therapist · Antioch, CA
Provider details
- NPI number
- 1508330747
- Entity type
- Individual
- Primary specialty
- Critical Care Certified Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 17366 (CA)
Mailing address
2112 Vicksburg Ave
Oakland, CA 94601-5420
Registry dates
- Enumerated
- 2019-01-21
- Last updated
- 2019-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.