Michael S Clarke in Springfield - Specialist

Michael S Clarke - NPI 1609874569

Michael S Clarke is a Specialist in Springfield, Missouri. Michael S Clarke practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael S Clarke is 1609874569. The last update date is 2008-08-08.

Michael S Clarke's current location address is 3150 S National Ave, Springfield, Missouri. You can contact this provider via phone number 4178815529 and fax number 4178853921. The mailing address for Michael S Clarke is 3150 S National Ave, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael S Clarke
Address 3150 S National Ave, Springfield, Missouri
Phone Number 4178815529
Fax Number 4178853921
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1609874569
Provider Enumeration Date 2005-07-13
Last Updated Date 2008-08-08

Provider Mailing Address Detail

Address 3150 S National Ave
City Springfield
State Missouri (MO)
Post Code 658077301
Phone Number 4178815529
Fax Number 4178853921

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 32388
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
200505824 MO --
431552300 TRICARE WEST
201077503 PALMETTO GBA

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FAQs about Michael S Clarke

What is the unique 10-digit identifier code issued to Michael S Clarke by the Centers for Medicare & Medicaid Services?

The Michael S Clarke has been assigned the NPI (National Provider Identifier) 1609874569 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Michael S Clarke's facilities are geographically located?

The facilities of Michael S Clarke are physically situated at the following location: 3150 S National Ave, Springfield, MO, 658077301.

What is Michael S Clarke's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael S Clarke's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1609874569 to Michael S Clarke?

The Michael S Clarke received its 1609874569 assignment from the Centers for Medicare & Medicaid Services on 2005-07-13.

When was the information related to Michael S Clarke most recently updated or refreshed?

The details pertaining to the Michael S Clarke, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-08.

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