Steven G Clark in Pekin - Orthopaedic Surgery
Steven G Clark - NPI 1902850027
Steven G Clark is a Orthopaedic Surgery in Pekin, Illinois. Steven G Clark practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Steven G Clark is 1902850027. The last update date is 2014-11-26.
Steven G Clark's current location address is 2351 Broadway St, Pekin, Illinois. You can contact this provider via phone number 3093534159 and fax number 3093534531. The mailing address for Steven G Clark is 2351 Broadway St, Pekin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven G Clark |
|---|---|
| Address | 2351 Broadway St, Pekin, Illinois |
| Phone Number | 3093534159 |
| Fax Number | 3093534531 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902850027 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2014-11-26 |
Provider Mailing Address Detail
| Address | 2351 Broadway St |
|---|---|
| City | Pekin |
| State | Illinois (IL) |
| Post Code | 615543972 |
| Phone Number | 3093534159 |
| Fax Number | 3093534531 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 36049330 |
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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 |
|---|---|---|---|
| 36049330 | IL | -- | |
| 9015685 | IL | BLUE CROSS BLUE SHIELD | |
| P00355237 | IL | RAIL ROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Steven G Clark?
The Steven G Clark has been issued the NPI (National Provider Identifier) 1902850027 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Steven G Clark is physically located?
The Steven G Clark is physically situated at the following address: 2351 Broadway St, Pekin, IL, 615543972.
What is Steven G Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Steven G Clark is Orthopaedic Surgery, and the corresponding taxonomy classification code for this specialized field is 207X00000X.
On what date did the Steven G Clark receive its 1902850027 assignment from the Centers for Medicare & Medicaid Services?
The Steven G Clark was assigned its 1902850027 by the Centers for Medicare & Medicaid Services on 2006-05-22.
When was the information regarding Steven G Clark most recently updated?
The details pertaining to the Steven G Clark, including its address, specialty, and other relevant information, were last refreshed on 2014-11-26.