Jimmy R Clark in West Allis - Anatomic Pathology & Clinical Pathology

Jimmy R Clark - NPI 1952335069

Jimmy R Clark is a Anatomic Pathology & Clinical Pathology in West Allis, Wisconsin. Jimmy R Clark practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Jimmy R Clark is 1952335069. The last update date is 2010-07-02.

Jimmy R Clark's current location address is 8901 West Lincoln Avenue, West Allis, Wisconsin. You can contact this provider via phone number 4143287950 and fax number 4143288505. The mailing address for Jimmy R Clark is 8901 West Lincoln Avenue, West Allis, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jimmy R Clark
Address 8901 West Lincoln Avenue, West Allis, Wisconsin
Phone Number 4143287950
Fax Number 4143288505
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1952335069
Provider Enumeration Date 2006-07-11
Last Updated Date 2010-07-02

Provider Mailing Address Detail

Address 8901 West Lincoln Avenue
City West Allis
State Wisconsin (WI)
Post Code 532272477
Phone Number 4143287950
Fax Number 4143288505

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology & Clinical Pathology
Taxonomy 207Zp0102X
Licence No 29081
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

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FAQs about Jimmy R Clark

What is the Jimmy R Clark's 1952335069?

The Jimmy R Clark's NPI (National Provider Identifier) Number is 1952335069. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jimmy R Clark?

The Jimmy R Clark is physically situated at 8901 West Lincoln Avenue, in the city of West Allis, state of WI, with the postal code 532272477.

What is Jimmy R Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jimmy R Clark's specialized field of practice is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code that categorizes this area of specialization is 207Zp0102X.

On what date did the Jimmy R Clark receive the assignment of its 1952335069 from the Centers for Medicare & Medicaid Services?

The Jimmy R Clark was issued its 1952335069 by the Centers for Medicare & Medicaid Services on 2006-07-11.

As of what date were the details pertaining to Jimmy R Clark last refreshed?

The information related to the Jimmy R Clark, including its address, specialty, and other relevant details, was last updated on 2010-07-02.

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