Craig B Clark in Des Moines - Cardiovascular Disease
Craig B Clark - NPI 1780666594
Craig B Clark is a Cardiovascular Disease in Des Moines, Iowa. Craig B Clark practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Craig B Clark is 1780666594. The last update date is 2012-08-09.
Craig B Clark's current location address is 1301 Penn Ave, Des Moines, Iowa. You can contact this provider via phone number 5152632400 and fax number 5152632540. The mailing address for Craig B Clark is 1301 Penn Ave, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig B Clark |
|---|---|
| Address | 1301 Penn Ave, Des Moines, Iowa |
| Phone Number | 5152632400 |
| Fax Number | 5152632540 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1780666594 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2012-08-09 |
Provider Mailing Address Detail
| Address | 1301 Penn Ave |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503162350 |
| Phone Number | 5152632400 |
| Fax Number | 5152632540 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 3037 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1780666594 | IA | -- | |
| 1240796 | IA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Craig B Clark by the Centers for Medicare & Medicaid Services?
The Craig B Clark has been issued the NPI (National Provider Identifier) 1780666594. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Craig B Clark?
The Craig B Clark is physically situated at 1301 Penn Ave, in the city of Des Moines, state of IA, with the postal code 503162350.
What is Craig B 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 Craig B Clark is Cardiovascular Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780666594 to Craig B Clark?
The Craig B Clark received its 1780666594 assignment from the Centers for Medicare & Medicaid Services on 2005-11-17.
As of what date were the details pertaining to Craig B Clark last refreshed?
The information related to the Craig B Clark, including its address, specialty, and other relevant details, was last updated on 2012-08-09.