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 |
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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 |
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City | Marianna |
State | Florida (FL) |
Post Code | 324461917 |
Phone Number | 8507182597 |
Fax Number | 8507182551 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | ME42096 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Post Comment/ Review Below
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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