Mary Elizabeth Revilla Clark in San Francisco - Gastroenterology
Mary Elizabeth Revilla Clark - NPI 1225109770
Mary Elizabeth Revilla Clark is a Gastroenterology in San Francisco, California. Mary Elizabeth Revilla Clark practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Mary Elizabeth Revilla Clark is 1225109770. The last update date is 2022-01-13.
Mary Elizabeth Revilla Clark's current location address is 2333 Buchanan St, San Francisco, California. You can contact this provider via phone number 4156445752. The mailing address for Mary Elizabeth Revilla Clark is 2333 Buchanan St, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Elizabeth Revilla Clark |
|---|---|
| Address | 2333 Buchanan St, San Francisco, California |
| Phone Number | 4156445752 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1225109770 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2022-01-13 |
Provider Mailing Address Detail
| Address | 2333 Buchanan St |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 941151925 |
| Phone Number | 4156445752 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | A98304 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A98304 | CA | CALIFORNIA STATE LICENSE | |
| MD-12890 | HI | HAWAII MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Elizabeth Revilla Clark?
The Mary Elizabeth Revilla Clark has been issued the NPI (National Provider Identifier) 1225109770 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mary Elizabeth Revilla Clark?
The Mary Elizabeth Revilla Clark is situated at 2333 Buchanan St, in the city of San Francisco, state of CA, with the zip code 941151925.
What is the area of specialization for Mary Elizabeth Revilla Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Elizabeth Revilla Clark is Gastroenterology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rg0100X.
When did the Mary Elizabeth Revilla Clark receive its 1225109770?
The Mary Elizabeth Revilla Clark was issued its 1225109770 on 2006-11-13, which is the date when the organization was assigned this unique identifier.
When was the information related to Mary Elizabeth Revilla Clark most recently updated or refreshed?
The details pertaining to the Mary Elizabeth Revilla Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-01-13.