Shannon Clark is a Obstetrics in Sacramento, California. Shannon Clark practices all healthcare services and medical treatments related to Obstetrics. The NPI Number for Shannon Clark is 1295922912. The last update date is 2012-07-17.
Shannon Clark's current location address is 4860 Y St, Sacramento, California. You can contact this provider via phone number 9167348445 and fax number 9167346666. The mailing address for Shannon Clark is 4860 Y St, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Clark |
|---|---|
| Address | 4860 Y St, Sacramento, California |
| Phone Number | 9167348445 |
| Fax Number | 9167346666 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1295922912 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2012-07-17 |
Provider Mailing Address Detail
| Address | 4860 Y St |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958172307 |
| Phone Number | 9167348445 |
| Fax Number | 9167346666 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics |
|---|---|
| Taxonomy | 207Vx0000X |
| Licence No | A103021 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0 | CA | MEDICAL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shannon Clark?
The Shannon Clark has been issued the NPI (National Provider Identifier) 1295922912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Shannon Clark located?
The Shannon Clark is located at 4860 Y St, Sacramento, CA 958172307.
What is Shannon Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannon Clark's area of specialization is Obstetrics, and the corresponding taxonomy code that categorizes this field of practice is 207Vx0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1295922912 to Shannon Clark?
The Centers for Medicare & Medicaid Services assigned the 1295922912 to Shannon Clark on 2007-09-26.
When was the information related to Shannon Clark most recently updated or refreshed?
The details pertaining to the Shannon Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-17.
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