Roderick V. Clark in Lafayette - Nephrology
Roderick V. Clark - NPI 1225066939
Roderick V. Clark is a Nephrology in Lafayette, Louisiana. Roderick V. Clark practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Roderick V. Clark is 1225066939. The last update date is 2007-09-11.
Roderick V. Clark's current location address is 2804 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can contact this provider via phone number 3379815156 and fax number 3379810673. The mailing address for Roderick V. Clark is 2804 Ambassador Caffery Pkwy, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roderick V. Clark |
|---|---|
| Address | 2804 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Phone Number | 3379815156 |
| Fax Number | 3379810673 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1225066939 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | 2804 Ambassador Caffery Pkwy |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705065906 |
| Phone Number | 3379815156 |
| Fax Number | 3379810673 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 19518 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1379875 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Roderick V. Clark?
The Roderick V. Clark has been issued the NPI (National Provider Identifier) 1225066939 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Roderick V. Clark is located?
The Roderick V. Clark is situated at the following address: 2804 Ambassador Caffery Pkwy, Lafayette, LA, 705065906.
What is Roderick V. Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Roderick V. Clark is Nephrology, and the taxonomy code that classifies this field of practice is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225066939 to Roderick V. Clark?
The Centers for Medicare & Medicaid Services assigned the 1225066939 to Roderick V. Clark on 2006-06-29.
As of what date was the information regarding Roderick V. Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Roderick V. Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-11.