Tracey Durkovich Clark in Bangor - Ophthalmology
Tracey Durkovich Clark - NPI 1437314127
Tracey Durkovich Clark is a Ophthalmology in Bangor, Maine. Tracey Durkovich Clark practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Tracey Durkovich Clark is 1437314127. The last update date is 2013-12-10.
Tracey Durkovich Clark's current location address is 1 Ridgewood Dr, Bangor, Maine. You can contact this provider via phone number 2079456200 and fax number 2079903015. The mailing address for Tracey Durkovich Clark is 1 Ridgewood Dr, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tracey Durkovich Clark |
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Address | 1 Ridgewood Dr, Bangor, Maine |
Phone Number | 2079456200 |
Fax Number | 2079903015 |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1437314127 |
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Provider Enumeration Date | 2008-07-23 |
Last Updated Date | 2013-12-10 |
Provider Mailing Address Detail
Address | 1 Ridgewood Dr |
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City | Bangor |
State | Maine (ME) |
Post Code | 4401 |
Phone Number | 2079456200 |
Fax Number | 2079903015 |
Provider's Primary Taxonomy Detail
Speciality | Ophthalmology |
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Taxonomy | 207W00000X |
Licence No | OT012459 |
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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What is the unique 10-digit identifier code issued to Tracey Durkovich Clark by the Centers for Medicare & Medicaid Services?
The Tracey Durkovich Clark has been assigned the NPI (National Provider Identifier) 1437314127 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tracey Durkovich Clark?
The Tracey Durkovich Clark is physically situated at 1 Ridgewood Dr, in the city of Bangor, state of ME, with the postal code 4401.
What is Tracey Durkovich Clark's area of expertise and its corresponding taxonomy classification?
The Tracey Durkovich Clark's field of specialization is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Tracey Durkovich Clark receive its 1437314127 assignment from the Centers for Medicare & Medicaid Services?
The Tracey Durkovich Clark was assigned its 1437314127 on 2008-07-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tracey Durkovich Clark last refreshed?
The information related to the Tracey Durkovich Clark, including its address, specialty, and other relevant details, was last updated on 2013-12-10.