Raymond H Clark in Conway - Psychiatry

Raymond H Clark - NPI 1750483699

Raymond H Clark is a Psychiatry in Conway, Arkansas. Raymond H Clark practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Raymond H Clark is 1750483699. The last update date is 2016-08-31.

Raymond H Clark's current location address is Po Box 10705, Conway, Arkansas. You can contact this provider via phone number 5014727697 and fax number 5013368837. The mailing address for Raymond H Clark is Po Box 10705, Conway, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Raymond H Clark
Address Po Box 10705, Conway, Arkansas
Phone Number 5014727697
Fax Number 5013368837
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1750483699
Provider Enumeration Date 2006-09-01
Last Updated Date 2016-08-31

Provider Mailing Address Detail

Address Po Box 10705
City Conway
State Arkansas (AR)
Post Code 720340012
Phone Number 5014727697
Fax Number 5013368837

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No C8236
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
129952001 AR --

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FAQs about Raymond H Clark

What is the unique identifier code issued to Raymond H Clark by the Centers for Medicare & Medicaid Services?

The Raymond H Clark has been assigned the NPI (National Provider Identifier) 1750483699. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Raymond H Clark is located?

The Raymond H Clark is situated at the following address: Po Box 10705, Conway, AR, 720340012.

What is the Raymond H Clark's specialty and taxonomy code?

The Raymond H Clark's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.

On what date did the Raymond H Clark receive its 1750483699 assignment from the Centers for Medicare & Medicaid Services?

The Raymond H Clark was assigned its 1750483699 by the Centers for Medicare & Medicaid Services on 2006-09-01.

As of what date was the information regarding Raymond H Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Raymond H Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-08-31.

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