Clark C Otley in Rochester - Mohs-micrographic Surgery
Clark C Otley - NPI 1578535506
Clark C Otley is a Mohs-micrographic Surgery in Rochester, Minnesota. Clark C Otley practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Clark C Otley is 1578535506. The last update date is 2021-02-03.
Clark C Otley's current location address is 200 1st St Sw, Rochester, Minnesota. You can contact this provider via phone number 5072842511. The mailing address for Clark C Otley is 200 1st St Sw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Clark C Otley |
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Address | 200 1st St Sw, Rochester, Minnesota |
Phone Number | 5072842511 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1578535506 |
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Provider Enumeration Date | 2006-02-03 |
Last Updated Date | 2021-02-03 |
Provider Mailing Address Detail
Address | 200 1st St Sw |
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City | Rochester |
State | Minnesota (MN) |
Post Code | 559050001 |
Phone Number | 5072842511 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Mohs-micrographic Surgery |
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Taxonomy | 207Nd0101X |
Licence No | 38287 |
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
Post Comment/ Review Below
What is the Clark C Otley's unique identification number?
The Clark C Otley has been assigned the NPI (National Provider Identifier) Number 1578535506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Clark C Otley?
The Clark C Otley is physically situated at 200 1St St Sw, in the city of Rochester, state of MN, with the postal code 559050001.
What is Clark C Otley'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 Clark C Otley is Mohs-micrographic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Nd0101X.
On what date did Clark C Otley receive its 1578535506 assignment from the Centers for Medicare & Medicaid Services?
The Clark C Otley was assigned its 1578535506 on 2006-02-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Clark C Otley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Clark C Otley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-03.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY