Clark B Wysong is a Family Medicine in Glendale, Arizona. Clark B Wysong practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Clark B Wysong is 1861469165. The last update date is 2013-01-10.
Clark B Wysong's current location address is 19875 N 51st Ave, Glendale, Arizona. You can contact this provider via phone number 6235818998 and fax number 6235816461. The mailing address for Clark B Wysong is 19875 N 51st Ave, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark B Wysong |
|---|---|
| Address | 19875 N 51st Ave, Glendale, Arizona |
| Phone Number | 6235818998 |
| Fax Number | 6235816461 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861469165 |
|---|---|
| Provider Enumeration Date | 2006-03-06 |
| Last Updated Date | 2013-01-10 |
Provider Mailing Address Detail
| Address | 19875 N 51st Ave |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853085114 |
| Phone Number | 6235818998 |
| Fax Number | 6235816461 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 25168 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 385527 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clark B Wysong by the Centers for Medicare & Medicaid Services?
The Clark B Wysong has been issued the NPI (National Provider Identifier) 1861469165 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Clark B Wysong's physical address?
The Clark B Wysong is physically located at 19875 N 51St Ave, in the city of Glendale, AZ, with the postal code 853085114.
What is Clark B Wysong's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clark B Wysong is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861469165 to Clark B Wysong?
The Centers for Medicare & Medicaid Services originally issued the 1861469165 to Clark B Wysong on 2006-03-06.
When was the information regarding Clark B Wysong most recently updated?
The details pertaining to the Clark B Wysong, including its address, specialty, and other relevant information, were last refreshed on 2013-01-10.