Robert Edward Clark in Selma - Specialist
Robert Edward Clark - NPI 1265480602
Robert Edward Clark is a Specialist in Selma, California. Robert Edward Clark practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert Edward Clark is 1265480602. The last update date is 2011-06-10.
Robert Edward Clark's current location address is 1141 Rose Ave, Selma, California. You can contact this provider via phone number 5598916337. The mailing address for Robert Edward Clark is 1141 Rose Ave, Selma, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Edward Clark |
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Address | 1141 Rose Ave, Selma, California |
Phone Number | 5598916337 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1265480602 |
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Provider Enumeration Date | 2006-05-05 |
Last Updated Date | 2011-06-10 |
Provider Mailing Address Detail
Address | 1141 Rose Ave |
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City | Selma |
State | California (CA) |
Post Code | 936623241 |
Phone Number | 5598916337 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | C29418 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00C294180 | CA | -- | |
300062393 | RAILROAD MEDICARE PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert Edward Clark by the Centers for Medicare & Medicaid Services?
The Robert Edward Clark has been assigned the NPI (National Provider Identifier) 1265480602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Robert Edward Clark is physically located?
The Robert Edward Clark is physically situated at the following address: 1141 Rose Ave, Selma, CA, 936623241.
What is Robert Edward Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert Edward Clark's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Robert Edward Clark receive its 1265480602 assignment from the Centers for Medicare & Medicaid Services?
The Robert Edward Clark was assigned its 1265480602 by the Centers for Medicare & Medicaid Services on 2006-05-05.
As of what date were the details related to Robert Edward Clark most recently updated or revised?
The information pertaining to Robert Edward Clark, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-10.