J Scott Clark Do Pc in Poteau - Family Medicine

J Scott Clark Do Pc - NPI 1942489349

J Scott Clark Do Pc is a Family Medicine in Poteau, Oklahoma. J Scott Clark Do Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for J Scott Clark Do Pc is 1942489349. The last update date is 2011-03-11.

J Scott Clark Do Pc's current location address is Po Box 1236, Poteau, Oklahoma. You can contact this provider via phone number 9186493777 and fax number 9186493891. The mailing address for J Scott Clark Do Pc is Po Box 1236, Poteau, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization J Scott Clark Do Pc
Address Po Box 1236, Poteau, Oklahoma
Phone Number 9186493777
Fax Number 9186493891
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Clark Scott Jonathan
Credentials DO
Telephone Number 9186493777

NPI Number Detail

NPI Number 1942489349
Provider Enumeration Date 2007-11-01
Last Updated Date 2011-03-11

Provider Mailing Address Detail

Address Po Box 1236
City Poteau
State Oklahoma (OK)
Post Code 749531236
Phone Number 9186493777
Fax Number 9186493891

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 3561
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
DA5077 OK RAILROAD MEDICARE
200017760A OK --

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FAQs about J Scott Clark Do Pc

What is the unique identification code assigned to J Scott Clark Do Pc by the Centers for Medicare & Medicaid Services?

The J Scott Clark Do Pc has been issued the NPI (National Provider Identifier) 1942489349. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where J Scott Clark Do Pc's facilities are geographically located?

The facilities of J Scott Clark Do Pc are physically situated at the following location: Po Box 1236, Poteau, OK, 749531236.

What is J Scott Clark Do Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The J Scott Clark Do Pc's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did J Scott Clark Do Pc receive its 1942489349 assignment from the Centers for Medicare & Medicaid Services?

The J Scott Clark Do Pc was assigned its 1942489349 on 2007-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the J Scott Clark Do Pc's information last updated?

The J Scott Clark Do Pc's information was last updated on 2011-03-11.

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