Eleanor Ann Clark in Casa Grande - Gynecology
Eleanor Ann Clark - NPI 1114928546
Eleanor Ann Clark is a Gynecology in Casa Grande, Arizona. Eleanor Ann Clark practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Eleanor Ann Clark is 1114928546. The last update date is 2014-08-18.
Eleanor Ann Clark's current location address is 1780 E Florence Blvd Ste 108, Casa Grande, Arizona. You can contact this provider via phone number 5203816758 and fax number 5203816040. The mailing address for Eleanor Ann Clark is 1780 E Florence Blvd Ste 108, Casa Grande, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eleanor Ann Clark |
|---|---|
| Address | 1780 E Florence Blvd Ste 108, Casa Grande, Arizona |
| Phone Number | 5203816758 |
| Fax Number | 5203816040 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114928546 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2014-08-18 |
Provider Mailing Address Detail
| Address | 1780 E Florence Blvd Ste 108 |
|---|---|
| City | Casa Grande |
| State | Arizona (AZ) |
| Post Code | 851224782 |
| Phone Number | 5203816758 |
| Fax Number | 5203816040 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 16389 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 243139 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Eleanor Ann Clark by the Centers for Medicare & Medicaid Services?
The Eleanor Ann Clark has been assigned the NPI (National Provider Identifier) 1114928546 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Eleanor Ann Clark located?
The Eleanor Ann Clark is located at 1780 E Florence Blvd Ste 108, Casa Grande, AZ 851224782.
What is the Eleanor Ann Clark's area of specialization and corresponding taxonomy classification?
The Eleanor Ann Clark's specialty field is Gynecology, and it falls under the taxonomy code 207Vg0400X, which categorizes healthcare providers based on their specialties.
On what date did Eleanor Ann Clark receive its 1114928546 assignment from the Centers for Medicare & Medicaid Services?
The Eleanor Ann Clark was assigned its 1114928546 on 2005-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Eleanor Ann Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Eleanor Ann Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-08-18.