Clovis Dermatology Pa in Clovis - Specialist
Clovis Dermatology Pa - NPI 1396906988
Clovis Dermatology Pa is a Specialist in Clovis, New Mexico. Clovis Dermatology Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Clovis Dermatology Pa is 1396906988. The last update date is 2008-06-17.
Clovis Dermatology Pa's current location address is 818 Parkland Dr, Clovis, New Mexico. You can contact this provider via phone number 5757628890. The mailing address for Clovis Dermatology Pa is 818 Parkland Dr, Clovis, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clovis Dermatology Pa |
|---|---|
| Address | 818 Parkland Dr, Clovis, New Mexico |
| Phone Number | 5757628890 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Brown J Donald |
| Credentials | D.O. |
| Telephone Number | 5757628890 |
NPI Number Detail
| NPI Number | 1396906988 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 818 Parkland Dr |
|---|---|
| City | Clovis |
| State | New Mexico (NM) |
| Post Code | 881014431 |
| Phone Number | 5757628890 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A101294 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NM024070 | NM | BLUE CROSS BLUE SHIELD | |
| 202005741 | NM | PRESBYTERIAN HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clovis Dermatology Pa by the Centers for Medicare & Medicaid Services?
The Clovis Dermatology Pa has been issued the NPI (National Provider Identifier) 1396906988 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Clovis Dermatology Pa's physical address?
The Clovis Dermatology Pa is physically located at 818 Parkland Dr, in the city of Clovis, NM, with the postal code 881014431.
What is Clovis Dermatology Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clovis Dermatology Pa is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When was the Clovis Dermatology Pa's 1396906988 issued?
The Clovis Dermatology Pa's 1396906988 was issued on 2008-06-17.
When was the information related to Clovis Dermatology Pa most recently updated or refreshed?
The details pertaining to the Clovis Dermatology Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-17.
NPI Number: 1932102142
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