Richard Alan Clark in Luke Afb Hospital - Family Medicine
Richard Alan Clark - NPI 1700863701
Richard Alan Clark is a Family Medicine in Luke Afb Hospital, Arizona. Richard Alan Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Richard Alan Clark is 1700863701. The last update date is 2009-03-11.
Richard Alan Clark's current location address is 7219 N Litchfield Rd, Luke Afb Hospital, Arizona. You can contact this provider via phone number 6238563763. The mailing address for Richard Alan Clark is 7219 N Litchfield Rd, Luke Afb Hospital, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Alan Clark |
|---|---|
| Address | 7219 N Litchfield Rd, Luke Afb Hospital, Arizona |
| Phone Number | 6238563763 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700863701 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2009-03-11 |
Provider Mailing Address Detail
| Address | 7219 N Litchfield Rd |
|---|---|
| City | Luke Afb Hospital |
| State | Arizona (AZ) |
| Post Code | 853091525 |
| Phone Number | 6238563763 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 29948 |
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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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What is the unique identifier code issued to Richard Alan Clark by the Centers for Medicare & Medicaid Services?
The Richard Alan Clark has been assigned the NPI (National Provider Identifier) 1700863701. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Richard Alan Clark's physical address?
The Richard Alan Clark is physically located at 7219 N Litchfield Rd, in the city of Luke Afb Hospital, AZ, with the postal code 853091525.
What is the area of specialization for Richard Alan Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard Alan Clark is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Richard Alan Clark receive its 1700863701 assignment from the Centers for Medicare & Medicaid Services?
The Richard Alan Clark was assigned its 1700863701 by the Centers for Medicare & Medicaid Services on 2005-12-30.
As of what date were the details related to Richard Alan Clark most recently updated or revised?
The information pertaining to Richard Alan Clark, including its address, specialty, and other relevant details, was last updated or revised on 2009-03-11.