Jonna D Clark in Seattle - Pediatric Critical Care Medicine

Jonna D Clark - NPI 1689776809

Jonna D Clark is a Pediatric Critical Care Medicine in Seattle, Washington. Jonna D Clark practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Jonna D Clark is 1689776809. The last update date is 2011-03-04.

Jonna D Clark's current location address is 4800 Sand Point Way Ne, Seattle, Washington. You can contact this provider via phone number 2069872140 and fax number 2069873866. The mailing address for Jonna D Clark is 4800 Sand Point Way Ne, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonna D Clark
Address 4800 Sand Point Way Ne, Seattle, Washington
Phone Number 2069872140
Fax Number 2069873866
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1689776809
Provider Enumeration Date 2006-09-01
Last Updated Date 2011-03-04

Provider Mailing Address Detail

Address 4800 Sand Point Way Ne
City Seattle
State Washington (WA)
Post Code 981053901
Phone Number 2069872140
Fax Number 2069873866

Provider's Primary Taxonomy Detail

Speciality Pediatric Critical Care Medicine
Taxonomy 2080P0203X
Licence No MD 60012888
Definition:
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg

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FAQs about Jonna D Clark

What is the unique identifier code issued to Jonna D Clark by the Centers for Medicare & Medicaid Services (CMS)?

The Jonna D Clark has been assigned the NPI (National Provider Identifier) 1689776809. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Jonna D Clark's facilities are geographically located?

The facilities of Jonna D Clark are physically situated at the following location: 4800 Sand Point Way Ne, Seattle, WA, 981053901.

What is Jonna D Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jonna D Clark is Pediatric Critical Care Medicine, and the taxonomy code that classifies this field of practice is 2080P0203X.

On what date did the Jonna D Clark receive the assignment of its 1689776809 from the Centers for Medicare & Medicaid Services?

The Jonna D Clark was issued its 1689776809 by the Centers for Medicare & Medicaid Services on 2006-09-01.

When was the information regarding Jonna D Clark most recently updated?

The details pertaining to the Jonna D Clark, including its address, specialty, and other relevant information, were last refreshed on 2011-03-04.

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