Bliss Watson Clark in Modesto - Sports Medicine
Bliss Watson Clark - NPI 1447258272
Bliss Watson Clark is a Sports Medicine in Modesto, California. Bliss Watson Clark practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Bliss Watson Clark is 1447258272. The last update date is 2011-11-05.
Bliss Watson Clark's current location address is 1541 Florida Ave, Modesto, California. You can contact this provider via phone number 2092147053 and fax number 2095230764. The mailing address for Bliss Watson Clark is 1541 Florida Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bliss Watson Clark |
|---|---|
| Address | 1541 Florida Ave, Modesto, California |
| Phone Number | 2092147053 |
| Fax Number | 2095230764 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1447258272 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2011-11-05 |
Provider Mailing Address Detail
| Address | 1541 Florida Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504423 |
| Phone Number | 2092147053 |
| Fax Number | 2095230764 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | G59282 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33099502 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bliss Watson Clark by the Centers for Medicare & Medicaid Services?
The Bliss Watson Clark has been assigned the NPI (National Provider Identifier) 1447258272. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bliss Watson Clark?
The Bliss Watson Clark is physically situated at 1541 Florida Ave, in the city of Modesto, state of CA, with the postal code 953504423.
What is Bliss Watson Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bliss Watson Clark's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447258272 to Bliss Watson Clark?
The Bliss Watson Clark received its 1447258272 assignment from the Centers for Medicare & Medicaid Services on 2005-07-14.
When was the information regarding Bliss Watson Clark most recently updated?
The details pertaining to the Bliss Watson Clark, including its address, specialty, and other relevant information, were last refreshed on 2011-11-05.