Chad Leroy Clark in Riverside - Emergency Medicine
Chad Leroy Clark - NPI 1023052545
Chad Leroy Clark is a Emergency Medicine in Riverside, California. Chad Leroy Clark practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Chad Leroy Clark is 1023052545. The last update date is 2008-06-13.
Chad Leroy Clark's current location address is 3865 Jackson St, Riverside, California. You can contact this provider via phone number 9513525666 and fax number 9513525445. The mailing address for Chad Leroy Clark is 3865 Jackson St, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Leroy Clark |
|---|---|
| Address | 3865 Jackson St, Riverside, California |
| Phone Number | 9513525666 |
| Fax Number | 9513525445 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023052545 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 3865 Jackson St |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925033919 |
| Phone Number | 9513525666 |
| Fax Number | 9513525445 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | A70662 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A706620 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Chad Leroy Clark by the Centers for Medicare & Medicaid Services?
The Chad Leroy Clark has been issued the NPI (National Provider Identifier) 1023052545. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Chad Leroy Clark?
The Chad Leroy Clark is situated at 3865 Jackson St, in the city of Riverside, state of CA, with the zip code 925033919.
What is Chad Leroy Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Chad Leroy Clark is Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 207P00000X.
On what date did Chad Leroy Clark receive its 1023052545 assignment from the Centers for Medicare & Medicaid Services?
The Chad Leroy Clark was assigned its 1023052545 on 2006-06-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Chad Leroy Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Chad Leroy Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-13.