Diana L Clark is a Family Medicine in Greenwood, Indiana. Diana L Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Diana L Clark is 1225039860. The last update date is 2014-07-02.
Diana L Clark's current location address is 701 E County Line Rd Ste 301, Greenwood, Indiana. You can contact this provider via phone number 3178834736 and fax number 3178591576. The mailing address for Diana L Clark is 701 E County Line Rd Ste 301, Greenwood, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana L Clark |
|---|---|
| Address | 701 E County Line Rd Ste 301, Greenwood, Indiana |
| Phone Number | 3178834736 |
| Fax Number | 3178591576 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1225039860 |
|---|---|
| Provider Enumeration Date | 2005-08-04 |
| Last Updated Date | 2014-07-02 |
Provider Mailing Address Detail
| Address | 701 E County Line Rd Ste 301 |
|---|---|
| City | Greenwood |
| State | Indiana (IN) |
| Post Code | 461431071 |
| Phone Number | 3178834736 |
| Fax Number | 3178591576 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01029421A |
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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 |
|---|---|---|---|
| 200224710 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Diana L Clark?
The Diana L Clark has been issued the NPI (National Provider Identifier) 1225039860 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Diana L Clark?
The Diana L Clark is physically situated at 701 E County Line Rd Ste 301, in the city of Greenwood, state of IN, with the postal code 461431071.
What is Diana L Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Diana L Clark is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Diana L Clark receive its 1225039860 assignment from the Centers for Medicare & Medicaid Services?
The Diana L Clark was assigned its 1225039860 by the Centers for Medicare & Medicaid Services on 2005-08-04.
As of what date were the details pertaining to Diana L Clark last refreshed?
The information related to the Diana L Clark, including its address, specialty, and other relevant details, was last updated on 2014-07-02.
NPI Number: 1598760647
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