Henry Vondell Clark in Tacoma - Family Medicine
Henry Vondell Clark - NPI 1790898450
Henry Vondell Clark is a Family Medicine in Tacoma, Washington. Henry Vondell Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Henry Vondell Clark is 1790898450. The last update date is 2023-03-07.
Henry Vondell Clark's current location address is Madigan Army Medical Center, Tacoma, Washington. You can contact this provider via phone number 2539682252. The mailing address for Henry Vondell Clark is Madigan Army Medical Center, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Henry Vondell Clark |
|---|---|
| Address | Madigan Army Medical Center, Tacoma, Washington |
| Phone Number | 2539682252 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790898450 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Madigan Army Medical Center |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 98431 |
| Phone Number | 2539682252 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 9800216 |
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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 |
|---|---|---|---|
| 11521 | NC | BCBS PROVIDER NUMBER | |
| 1790898450 | NC | -- | |
| 9800216 | NC | LICENSE - NC |
Post Comment/ Review Below
What is the Henry Vondell Clark's 1790898450?
The Henry Vondell Clark's NPI (National Provider Identifier) Number is 1790898450. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Henry Vondell Clark's physical address?
The Henry Vondell Clark is physically located at Madigan Army Medical Center, in the city of Tacoma, WA, with the postal code 98431.
What is the Henry Vondell Clark's area of specialization and corresponding taxonomy classification?
The Henry Vondell Clark's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Henry Vondell Clark receive the assignment of its 1790898450 from the Centers for Medicare & Medicaid Services?
The Henry Vondell Clark was issued its 1790898450 by the Centers for Medicare & Medicaid Services on 2006-08-16.
As of what date was the information regarding Henry Vondell Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Henry Vondell Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.
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