Clarence E. Clark is a Surgery in Phoenix, Arizona. Clarence E. Clark practices all healthcare services and medical treatments related to Surgery. The NPI Number for Clarence E. Clark is 1952582397. The last update date is 2021-03-31.
Clarence E. Clark's current location address is Po Box 33269, Phoenix, Arizona. You can contact this provider via phone number 6024064786 and fax number 9166364358. The mailing address for Clarence E. Clark is Po Box 33269, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarence E. Clark |
|---|---|
| Address | Po Box 33269, Phoenix, Arizona |
| Phone Number | 6024064786 |
| Fax Number | 9166364358 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952582397 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2021-03-31 |
Provider Mailing Address Detail
| Address | Po Box 33269 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850673269 |
| Phone Number | 6024064786 |
| Fax Number | 9166364358 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 68132 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003126879C | GA | -- | |
| 003126879A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clarence E. Clark by the Centers for Medicare & Medicaid Services?
The Clarence E. Clark has been assigned the NPI (National Provider Identifier) 1952582397. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Clarence E. Clark?
The Clarence E. Clark is situated at Po Box 33269, in the city of Phoenix, state of AZ, with the zip code 850673269.
What is Clarence E. Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clarence E. Clark is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did Clarence E. Clark receive its 1952582397 assignment from the Centers for Medicare & Medicaid Services?
The Clarence E. Clark was assigned its 1952582397 on 2007-11-14, 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 Clarence E. Clark most recently updated or revised?
The information pertaining to Clarence E. Clark, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-31.
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