Mark Edward Clawson in Jennings - Family Medicine
Mark Edward Clawson - NPI 1073600086
Mark Edward Clawson is a Family Medicine in Jennings, Louisiana. Mark Edward Clawson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Edward Clawson is 1073600086. The last update date is 2021-02-15.
Mark Edward Clawson's current location address is 805 State St, Jennings, Louisiana. You can contact this provider via phone number 3378248099 and fax number 3378248229. The mailing address for Mark Edward Clawson is 805 State St, Jennings, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edward Clawson |
|---|---|
| Address | 805 State St, Jennings, Louisiana |
| Phone Number | 3378248099 |
| Fax Number | 3378248229 |
| Sole Proprietor | Y |
| Credentials | MD PMC |
NPI Number Detail
| NPI Number | 1073600086 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2021-02-15 |
Provider Mailing Address Detail
| Address | 805 State St |
|---|---|
| City | Jennings |
| State | Louisiana (LA) |
| Post Code | 705464739 |
| Phone Number | 3378248099 |
| Fax Number | 3378248229 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 20456 |
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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 |
|---|---|---|---|
| 20456 | LA | STATE LICENSE | |
| 1900249 | LA | -- |
Post Comment/ Review Below
Can you provide the Mark Edward Clawson's physical address?
The Mark Edward Clawson is physically located at 805 State St, in the city of Jennings, LA, with the postal code 705464739.
What is Mark Edward Clawson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Edward Clawson is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did the Mark Edward Clawson receive its 1073600086?
The Mark Edward Clawson was issued its 1073600086 on 2006-10-10, which is the date when the organization was assigned this unique identifier.
On what date did the Mark Edward Clawson receive its 1073600086 assignment from the Centers for Medicare & Medicaid Services?
The Mark Edward Clawson was assigned its 1073600086 by the Centers for Medicare & Medicaid Services on 2006-10-10.
As of what date were the details related to Mark Edward Clawson most recently updated or revised?
The information pertaining to Mark Edward Clawson, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-15.
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