David W Clark in Fort Wayne - Gastroenterology
David W Clark - NPI 1679522924
David W Clark is a Gastroenterology in Fort Wayne, Indiana. David W Clark practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for David W Clark is 1679522924. The last update date is 2013-10-10.
David W Clark's current location address is 1234 E Dupont Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2603739965 and fax number 2604585664. The mailing address for David W Clark is 1234 E Dupont Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David W Clark |
|---|---|
| Address | 1234 E Dupont Rd, Fort Wayne, Indiana |
| Phone Number | 2603739965 |
| Fax Number | 2604585664 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679522924 |
|---|---|
| Provider Enumeration Date | 2006-05-06 |
| Last Updated Date | 2013-10-10 |
Provider Mailing Address Detail
| Address | 1234 E Dupont Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468251545 |
| Phone Number | 2603739965 |
| Fax Number | 2604585664 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 1037790 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200015230 | IN | -- | |
| 672225 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to David W Clark by the Centers for Medicare & Medicaid Services (CMS)?
The David W Clark has been assigned the NPI (National Provider Identifier) 1679522924. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where David W Clark is geographically located?
The David W Clark is physically situated at the following location: 1234 E Dupont Rd, Fort Wayne, IN, 468251545.
What is David W Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David W Clark is Gastroenterology, and the taxonomy code that categorizes this field of expertise is 207Rg0100X.
On what date was the 1679522924 assigned to David W Clark?
The David W Clark was issued its 1679522924 on 2006-05-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to David W Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David W Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-10-10.