Clark John Staheli in Dammeron Valley - Family Medicine
Clark John Staheli - NPI 1568505691
Clark John Staheli is a Family Medicine in Dammeron Valley, Utah. Clark John Staheli practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Clark John Staheli is 1568505691. The last update date is 2011-03-22.
Clark John Staheli's current location address is 8555 North Highway 18, Dammeron Valley, Utah. You can contact this provider via phone number 8014298000 and fax number 8014298150. The mailing address for Clark John Staheli is 8555 North Highway 18, Dammeron Valley, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark John Staheli |
|---|---|
| Address | 8555 North Highway 18, Dammeron Valley, Utah |
| Phone Number | 8014298000 |
| Fax Number | 8014298150 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568505691 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2011-03-22 |
Provider Mailing Address Detail
| Address | 8555 North Highway 18 |
|---|---|
| City | Dammeron Valley |
| State | Utah (UT) |
| Post Code | 84783 |
| Phone Number | 8014298000 |
| Fax Number | 8014298150 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1481051205 |
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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 |
|---|---|---|---|
| 3698 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clark John Staheli by the Centers for Medicare & Medicaid Services?
The Clark John Staheli has been issued the NPI (National Provider Identifier) 1568505691, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Clark John Staheli?
The Clark John Staheli is physically situated at 8555 North Highway 18, in the city of Dammeron Valley, state of UT, with the postal code 84783.
What is Clark John Staheli's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clark John Staheli is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Clark John Staheli receive its 1568505691 assignment from the Centers for Medicare & Medicaid Services?
The Clark John Staheli was assigned its 1568505691 by the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date were the details pertaining to Clark John Staheli last refreshed?
The information related to the Clark John Staheli, including its address, specialty, and other relevant details, was last updated on 2011-03-22.
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