Glenn L. Clark in Marianna - Diagnostic Radiology

Glenn L. Clark - NPI 1093700320

Glenn L. Clark is a Diagnostic Radiology in Marianna, Florida. Glenn L. Clark practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Glenn L. Clark is 1093700320. The last update date is 2007-07-08.

Glenn L. Clark's current location address is 4250 Hospital Dr, Marianna, Florida. You can contact this provider via phone number 8507182597 and fax number 8507182551. The mailing address for Glenn L. Clark is 4250 Hospital Dr, Marianna, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn L. Clark
Address 4250 Hospital Dr, Marianna, Florida
Phone Number 8507182597
Fax Number 8507182551
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1093700320
Provider Enumeration Date 2005-09-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4250 Hospital Dr
City Marianna
State Florida (FL)
Post Code 324461917
Phone Number 8507182597
Fax Number 8507182551

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No ME42096
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about Glenn L. Clark

What is the unique 10-digit identifier code assigned to Glenn L. Clark by the Centers for Medicare & Medicaid Services?

The Glenn L. Clark has been issued the NPI (National Provider Identifier) 1093700320 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Glenn L. Clark's physical address?

The Glenn L. Clark is physically located at 4250 Hospital Dr, in the city of Marianna, FL, with the postal code 324461917.

What is the area of specialization for Glenn L. Clark, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Glenn L. Clark is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did Glenn L. Clark receive its 1093700320 assignment from the Centers for Medicare & Medicaid Services?

The Glenn L. Clark was assigned its 1093700320 on 2005-09-13, 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 related to Glenn L. Clark most recently updated or revised?

The information pertaining to Glenn L. Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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