Robert Edward Clark in Selma - Diagnostic Radiology
Robert Edward Clark - NPI 1265480602
Robert Edward Clark is a Diagnostic Radiology in Selma, California. Robert Edward Clark practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Robert Edward Clark is 1265480602. The last update date is 2011-06-10.
Robert Edward Clark's current location address is 1141 Rose Ave, Selma, California. You can contact this provider via phone number 5598916337. The mailing address for Robert Edward Clark is 1141 Rose Ave, Selma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Edward Clark |
|---|---|
| Address | 1141 Rose Ave, Selma, California |
| Phone Number | 5598916337 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1265480602 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2011-06-10 |
Provider Mailing Address Detail
| Address | 1141 Rose Ave |
|---|---|
| City | Selma |
| State | California (CA) |
| Post Code | 936623241 |
| Phone Number | 5598916337 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | C29418 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C294180 | CA | -- | |
| 300062393 | RAILROAD MEDICARE PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert Edward Clark by the Centers for Medicare & Medicaid Services?
The Robert Edward Clark has been assigned the NPI (National Provider Identifier) 1265480602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Robert Edward Clark is physically located?
The Robert Edward Clark is physically situated at the following address: 1141 Rose Ave, Selma, CA, 936623241.
What is Robert Edward Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert Edward Clark's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date did the Robert Edward Clark receive its 1265480602 assignment from the Centers for Medicare & Medicaid Services?
The Robert Edward Clark was assigned its 1265480602 by the Centers for Medicare & Medicaid Services on 2006-05-05.
As of what date were the details related to Robert Edward Clark most recently updated or revised?
The information pertaining to Robert Edward Clark, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-10.