Mary Johanna Clark in Grand Junction - Internal Medicine
Mary Johanna Clark - NPI 1912917949
Mary Johanna Clark is a Internal Medicine in Grand Junction, Colorado. Mary Johanna Clark practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mary Johanna Clark is 1912917949. The last update date is 2007-07-08.
Mary Johanna Clark's current location address is 2121 North Ave, Grand Junction, Colorado. You can contact this provider via phone number 9702420731 and fax number 9702485595. The mailing address for Mary Johanna Clark is 2121 North Ave, Grand Junction, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Johanna Clark |
|---|---|
| Address | 2121 North Ave, Grand Junction, Colorado |
| Phone Number | 9702420731 |
| Fax Number | 9702485595 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1912917949 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2121 North Ave |
|---|---|
| City | Grand Junction |
| State | Colorado (CO) |
| Post Code | 815016428 |
| Phone Number | 9702420731 |
| Fax Number | 9702485595 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 29800 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Post Comment/ Review Below
What is the unique identification code assigned to Mary Johanna Clark by the Centers for Medicare & Medicaid Services?
The Mary Johanna Clark has been issued the NPI (National Provider Identifier) 1912917949. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary Johanna Clark's physical address?
The Mary Johanna Clark is physically located at 2121 North Ave, in the city of Grand Junction, CO, with the postal code 815016428.
What is Mary Johanna Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Johanna Clark is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912917949 to Mary Johanna Clark?
The Centers for Medicare & Medicaid Services assigned the 1912917949 to Mary Johanna Clark on 2006-08-09.
When was the information related to Mary Johanna Clark most recently updated or refreshed?
The details pertaining to the Mary Johanna Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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