Donald Lester Clark in Dayton - Family Medicine

Donald Lester Clark - NPI 1154313369

Donald Lester Clark is a Family Medicine in Dayton, Ohio. Donald Lester Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Donald Lester Clark is 1154313369. The last update date is 2013-04-01.

Donald Lester Clark's current location address is 725 University Blvd, Dayton, Ohio. You can contact this provider via phone number 9372457200 and fax number 9372457922. The mailing address for Donald Lester Clark is 725 University Blvd, Dayton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Lester Clark
Address 725 University Blvd, Dayton, Ohio
Phone Number 9372457200
Fax Number 9372457922
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154313369
Provider Enumeration Date 2005-08-16
Last Updated Date 2013-04-01

Provider Mailing Address Detail

Address 725 University Blvd
City Dayton
State Ohio (OH)
Post Code 454350001
Phone Number 9372457200
Fax Number 9372457922

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 036-114287
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36114287 IL --
73290 OH --

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FAQs about Donald Lester Clark

What is the unique 10-digit identifier code issued to Donald Lester Clark by the Centers for Medicare & Medicaid Services?

The Donald Lester Clark has been assigned the NPI (National Provider Identifier) 1154313369 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 Donald Lester Clark is physically located?

The Donald Lester Clark is situated at the following address: 725 University Blvd, Dayton, OH 454350001.

What is Donald Lester Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Donald Lester Clark is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1154313369 to Donald Lester Clark?

The Centers for Medicare & Medicaid Services assigned the 1154313369 to Donald Lester Clark on 2005-08-16.

When was the information related to Donald Lester Clark most recently updated or refreshed?

The details pertaining to the Donald Lester Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-04-01.

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