Jack Leroy Stclair in Sonora - Adult Medicine
Jack Leroy Stclair - NPI 1184681298
Jack Leroy Stclair is a Adult Medicine in Sonora, California. Jack Leroy Stclair practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Jack Leroy Stclair is 1184681298. The last update date is 2007-07-08.
Jack Leroy Stclair's current location address is 14540 Mono Way, Sonora, California. You can contact this provider via phone number 2097437084 and fax number 2099285615. The mailing address for Jack Leroy Stclair is 14540 Mono Way, Sonora, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Leroy Stclair |
|---|---|
| Address | 14540 Mono Way, Sonora, California |
| Phone Number | 2097437084 |
| Fax Number | 2099285615 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184681298 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14540 Mono Way |
|---|---|
| City | Sonora |
| State | California (CA) |
| Post Code | 953708858 |
| Phone Number | 2097437084 |
| Fax Number | 2099285615 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | A76427 |
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Post Comment/ Review Below
What is the unique identifier code issued to Jack Leroy Stclair by the Centers for Medicare & Medicaid Services?
The Jack Leroy Stclair has been assigned the NPI (National Provider Identifier) 1184681298. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jack Leroy Stclair's physical address?
The Jack Leroy Stclair is physically located at 14540 Mono Way, in the city of Sonora, CA, with the postal code 953708858.
What is Jack Leroy Stclair's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Leroy Stclair is Adult Medicine, and the taxonomy code that classifies this field of practice is 207Qa0505X.
On what date was the 1184681298 assigned to Jack Leroy Stclair?
The Jack Leroy Stclair was issued its 1184681298 on 2006-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jack Leroy Stclair most recently updated or refreshed?
The details pertaining to the Jack Leroy Stclair, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.