Clark C Otley is a Dermatology in Rochester, Minnesota. Clark C Otley practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Clark C Otley is 1578535506. The last update date is 2021-02-03.
Clark C Otley's current location address is 200 1st St Sw, Rochester, Minnesota. You can contact this provider via phone number 5072842511. The mailing address for Clark C Otley is 200 1st St Sw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark C Otley |
|---|---|
| Address | 200 1st St Sw, Rochester, Minnesota |
| Phone Number | 5072842511 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578535506 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2021-02-03 |
Provider Mailing Address Detail
| Address | 200 1st St Sw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559050001 |
| Phone Number | 5072842511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 38287 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the Clark C Otley's unique identification number?
The Clark C Otley has been assigned the NPI (National Provider Identifier) Number 1578535506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Clark C Otley?
The Clark C Otley is physically situated at 200 1St St Sw, in the city of Rochester, state of MN, with the postal code 559050001.
What is Clark C Otley'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 Clark C Otley is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did Clark C Otley receive its 1578535506 assignment from the Centers for Medicare & Medicaid Services?
The Clark C Otley was assigned its 1578535506 on 2006-02-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Clark C Otley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Clark C Otley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-03.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY