Steven Clark South in El Dorado - Chiropractor
Steven Clark South - NPI 1093904641
Steven Clark South is a Chiropractor in El Dorado, Arkansas. Steven Clark South practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Steven Clark South is 1093904641. The last update date is 2007-10-19.
Steven Clark South's current location address is 1008 Nw Ave, El Dorado, Arkansas. You can contact this provider via phone number 8708635886 and fax number 8708635886. The mailing address for Steven Clark South is 1008 Nw Ave, El Dorado, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Clark South |
|---|---|
| Address | 1008 Nw Ave, El Dorado, Arkansas |
| Phone Number | 8708635886 |
| Fax Number | 8708635886 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1093904641 |
|---|---|
| Provider Enumeration Date | 2007-10-19 |
| Last Updated Date | 2007-10-19 |
Provider Mailing Address Detail
| Address | 1008 Nw Ave |
|---|---|
| City | El Dorado |
| State | Arkansas (AR) |
| Post Code | 71730 |
| Phone Number | 8708635886 |
| Fax Number | 8708635886 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1266 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique identifier code issued to Steven Clark South by the Centers for Medicare & Medicaid Services?
The Steven Clark South has been assigned the NPI (National Provider Identifier) 1093904641. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Steven Clark South is physically located?
The Steven Clark South is physically situated at the following address: 1008 Nw Ave, El Dorado, AR, 71730.
What is the Steven Clark South's specialty and taxonomy code?
The Steven Clark South's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Steven Clark South receive the assignment of its 1093904641 from the Centers for Medicare & Medicaid Services?
The Steven Clark South was issued its 1093904641 by the Centers for Medicare & Medicaid Services on 2007-10-19.
As of what date were the details related to Steven Clark South most recently updated or revised?
The information pertaining to Steven Clark South, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-19.