Peter Clark in Mammoth Lakes - Family Medicine

Peter Clark - NPI 1528113628

Peter Clark is a Family Medicine in Mammoth Lakes, California. Peter Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Peter Clark is 1528113628. The last update date is 2013-03-07.

Peter Clark's current location address is 85 Sierra Park Rd, Mammoth Lakes, California. You can contact this provider via phone number 7609342551 and fax number 7609244081. The mailing address for Peter Clark is 85 Sierra Park Rd, Mammoth Lakes, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Clark
Address 85 Sierra Park Rd, Mammoth Lakes, California
Phone Number 7609342551
Fax Number 7609244081
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1528113628
Provider Enumeration Date 2007-01-25
Last Updated Date 2013-03-07

Provider Mailing Address Detail

Address 85 Sierra Park Rd
City Mammoth Lakes
State California (CA)
Post Code 935460660
Phone Number 7609342551
Fax Number 7609244081

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No A68635
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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FAQs about Peter Clark

What is the unique 10-digit identification code issued to Peter Clark by the Centers for Medicare & Medicaid Services?

The Peter Clark has been assigned the NPI (National Provider Identifier) 1528113628 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Peter Clark's facilities are geographically located?

The facilities of Peter Clark are physically situated at the following location: 85 Sierra Park Rd, Mammoth Lakes, CA, 935460660.

What is the Peter Clark's specialty and taxonomy code?

The Peter Clark's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When was the Peter Clark's 1528113628 issued?

The Peter Clark's 1528113628 was issued on 2007-01-25.

As of what date were the details pertaining to Peter Clark last refreshed?

The information related to the Peter Clark, including its address, specialty, and other relevant details, was last updated on 2013-03-07.

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