Chad Jeremy Clark in Salt Lake City - Obstetrics & Gynecology
Chad Jeremy Clark - NPI 1346339496
Chad Jeremy Clark is a Obstetrics & Gynecology in Salt Lake City, Utah. Chad Jeremy Clark practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Chad Jeremy Clark is 1346339496. The last update date is 2023-04-20.
Chad Jeremy Clark's current location address is Po Box 30180, Salt Lake City, Utah. You can contact this provider via phone number 7193307854. The mailing address for Chad Jeremy Clark is Po Box 30180, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Jeremy Clark |
|---|---|
| Address | Po Box 30180, Salt Lake City, Utah |
| Phone Number | 7193307854 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1346339496 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2023-04-20 |
Provider Mailing Address Detail
| Address | Po Box 30180 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841300180 |
| Phone Number | 7193307854 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | DOS994 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46699 | CO | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Chad Jeremy Clark by the Centers for Medicare & Medicaid Services?
The Chad Jeremy Clark has been issued the NPI (National Provider Identifier) 1346339496, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Chad Jeremy Clark is located?
The Chad Jeremy Clark is situated at the following address: Po Box 30180, Salt Lake City, UT, 841300180.
What is the area of specialization for Chad Jeremy Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Chad Jeremy Clark is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this area of expertise is 207V00000X.
On what date did Chad Jeremy Clark receive its 1346339496 assignment from the Centers for Medicare & Medicaid Services?
The Chad Jeremy Clark was assigned its 1346339496 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Chad Jeremy Clark most recently updated or revised?
The details related to Chad Jeremy Clark, including its address, specialty, and other relevant information, were last updated or revised on 2023-04-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY