Mary Clarke in Stillwater - Family Medicine

Mary Clarke - NPI 1194839589

Mary Clarke is a Family Medicine in Stillwater, Oklahoma. Mary Clarke practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mary Clarke is 1194839589. The last update date is 2008-10-27.

Mary Clarke's current location address is 1815 W 6th Ave, Stillwater, Oklahoma. You can contact this provider via phone number 4057437300 and fax number 4057437398. The mailing address for Mary Clarke is 1815 W 6th Ave, Stillwater, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Clarke
Address 1815 W 6th Ave, Stillwater, Oklahoma
Phone Number 4057437300
Fax Number 4057437398
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1194839589
Provider Enumeration Date 2006-08-19
Last Updated Date 2008-10-27

Provider Mailing Address Detail

Address 1815 W 6th Ave
City Stillwater
State Oklahoma (OK)
Post Code 740744202
Phone Number 4057437300
Fax Number 4057437398

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No L8314
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
1730673 01 TX --

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FAQs about Mary Clarke

What is the unique identifier code issued to Mary Clarke by the Centers for Medicare & Medicaid Services (CMS)?

The Mary Clarke has been assigned the NPI (National Provider Identifier) 1194839589. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

What is the Mary Clarke's specialty and taxonomy code?

The Mary Clarke's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When was the Mary Clarke's 1194839589 issued?

The Mary Clarke's 1194839589 was issued on 2006-08-19.

On what date did the Centers for Medicare & Medicaid Services issue the 1194839589 to Mary Clarke?

The Mary Clarke received its 1194839589 assignment from the Centers for Medicare & Medicaid Services on 2006-08-19.

When was the information pertaining to Mary Clarke most recently updated or revised?

The details related to Mary Clarke, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-27.

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