Teralynn S Clark in Watertown - Anesthesiology

Teralynn S Clark - NPI 1699789263

Teralynn S Clark is a Anesthesiology in Watertown, South Dakota. Teralynn S Clark practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Teralynn S Clark is 1699789263. The last update date is 2013-02-22.

Teralynn S Clark's current location address is 1201 Mickelson Dr Ste 2, Watertown, South Dakota. You can contact this provider via phone number 6058820432 and fax number 6058820978. The mailing address for Teralynn S Clark is 1201 Mickelson Dr Ste 2, Watertown, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Teralynn S Clark
Address 1201 Mickelson Dr Ste 2, Watertown, South Dakota
Phone Number 6058820432
Fax Number 6058820978
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1699789263
Provider Enumeration Date 2006-07-28
Last Updated Date 2013-02-22

Provider Mailing Address Detail

Address 1201 Mickelson Dr Ste 2
City Watertown
State South Dakota (SD)
Post Code 572017253
Phone Number 6058820432
Fax Number 6058820978

Provider's Primary Taxonomy Detail

Speciality Anesthesiology
Taxonomy 207L00000X
Licence No 4316
Definition:
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7400 SD BCBS
235822100 MN --
5707122 SD --
59F05CL MN BCBS

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FAQs about Teralynn S Clark

What is the unique 10-digit identifier code assigned to Teralynn S Clark by the Centers for Medicare & Medicaid Services?

The Teralynn S Clark has been issued the NPI (National Provider Identifier) 1699789263 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Teralynn S Clark is physically located?

The Teralynn S Clark is situated at the following address: 1201 Mickelson Dr Ste 2, Watertown, SD 572017253.

What is the Teralynn S Clark's area of specialization and corresponding taxonomy classification?

The Teralynn S Clark's specialty field is Anesthesiology, and it falls under the taxonomy code 207L00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1699789263 to Teralynn S Clark?

The Centers for Medicare & Medicaid Services originally issued the 1699789263 to Teralynn S Clark on 2006-07-28.

As of what date were the Teralynn S Clark's details last updated?

The information pertaining to the Teralynn S Clark, including its address, specialty, and other details, was most recently updated on 2013-02-22.

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