Gary Wayne Clark in Carrollton - Family Medicine
Gary Wayne Clark - NPI 1013987759
Gary Wayne Clark is a Family Medicine in Carrollton, Ohio. Gary Wayne Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary Wayne Clark is 1013987759. The last update date is 2015-04-24.
Gary Wayne Clark's current location address is 125 Canton Rd Nw, Carrollton, Ohio. You can contact this provider via phone number 3306277641 and fax number 3306275796. The mailing address for Gary Wayne Clark is 125 Canton Rd Nw, Carrollton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Wayne Clark |
|---|---|
| Address | 125 Canton Rd Nw, Carrollton, Ohio |
| Phone Number | 3306277641 |
| Fax Number | 3306275796 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1013987759 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2015-04-24 |
Provider Mailing Address Detail
| Address | 125 Canton Rd Nw |
|---|---|
| City | Carrollton |
| State | Ohio (OH) |
| Post Code | 446151009 |
| Phone Number | 3306277641 |
| Fax Number | 3306275796 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | DO785 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gary Wayne Clark by the Centers for Medicare & Medicaid Services?
The Gary Wayne Clark has been assigned the NPI (National Provider Identifier) 1013987759 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Gary Wayne Clark is physically located?
The Gary Wayne Clark is situated at the following address: 125 Canton Rd Nw, Carrollton, OH 446151009.
What is the Gary Wayne Clark's specialty and taxonomy code?
The Gary Wayne Clark's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1013987759 assigned to Gary Wayne Clark?
The Gary Wayne Clark was issued its 1013987759 on 2006-01-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Gary Wayne Clark last refreshed?
The information related to the Gary Wayne Clark, including its address, specialty, and other relevant details, was last updated on 2015-04-24.