Christa Lynn Clark in Folsom - Plastic Surgery

Christa Lynn Clark - NPI 1457438004

Christa Lynn Clark is a Plastic Surgery in Folsom, California. Christa Lynn Clark practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Christa Lynn Clark is 1457438004. The last update date is 2007-07-08.

Christa Lynn Clark's current location address is 2220 E Bidwell St, Folsom, California. You can contact this provider via phone number 9169839895 and fax number 9169839850. The mailing address for Christa Lynn Clark is 2220 E Bidwell St, Folsom, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Christa Lynn Clark
Address 2220 E Bidwell St, Folsom, California
Phone Number 9169839895
Fax Number 9169839850
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1457438004
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2220 E Bidwell St
City Folsom
State California (CA)
Post Code 956303463
Phone Number 9169839895
Fax Number 9169839850

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No A72524
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

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FAQs about Christa Lynn Clark

What is the unique 10-digit identifier code issued to Christa Lynn Clark by the Centers for Medicare & Medicaid Services?

The Christa Lynn Clark has been assigned the NPI (National Provider Identifier) 1457438004 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Christa Lynn Clark's facilities are situated?

The facilities of Christa Lynn Clark are physically located at the following address: 2220 E Bidwell St, Folsom, CA, 956303463.

What is the area of specialization for Christa Lynn Clark, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Christa Lynn Clark is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208200000X.

On what date did Christa Lynn Clark receive its 1457438004 assignment from the Centers for Medicare & Medicaid Services?

The Christa Lynn Clark was assigned its 1457438004 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Christa Lynn Clark last refreshed?

The information related to the Christa Lynn Clark, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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