Charles A Clark in Pine Bluff - Orthopaedic Surgery
Charles A Clark - NPI 1043205461
Charles A Clark is a Orthopaedic Surgery in Pine Bluff, Arkansas. Charles A Clark practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Charles A Clark is 1043205461. The last update date is 2009-02-04.
Charles A Clark's current location address is 1609 W 40th Ave, Pine Bluff, Arkansas. You can contact this provider via phone number 8705343449 and fax number 8705356730. The mailing address for Charles A Clark is 1609 W 40th Ave, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles A Clark |
|---|---|
| Address | 1609 W 40th Ave, Pine Bluff, Arkansas |
| Phone Number | 8705343449 |
| Fax Number | 8705356730 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1043205461 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2009-02-04 |
Provider Mailing Address Detail
| Address | 1609 W 40th Ave |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716036329 |
| Phone Number | 8705343449 |
| Fax Number | 8705356730 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | N8106 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119794001 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Charles A Clark by the Centers for Medicare & Medicaid Services?
The Charles A Clark has been assigned the NPI (National Provider Identifier) 1043205461. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Charles A Clark's facilities are geographically located?
The facilities of Charles A Clark are physically situated at the following location: 1609 W 40Th Ave, Pine Bluff, AR, 716036329.
What is Charles A Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles A Clark is Orthopaedic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207X00000X.
When was the Charles A Clark's 1043205461 issued?
The Charles A Clark's 1043205461 was issued on 2005-09-12.
As of what date were the Charles A Clark's details last updated?
The information pertaining to the Charles A Clark, including its address, specialty, and other details, was most recently updated on 2009-02-04.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH