Gary C. Clark in San Diego - Surgery

Gary C. Clark - NPI 1518042274

Gary C. Clark is a Surgery in San Diego, California. Gary C. Clark practices all healthcare services and medical treatments related to Surgery. The NPI Number for Gary C. Clark is 1518042274. The last update date is 2012-10-17.

Gary C. Clark's current location address is 7901 Frost St, San Diego, California. You can contact this provider via phone number 8589393525. The mailing address for Gary C. Clark is 7901 Frost St, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary C. Clark
Address 7901 Frost St, San Diego, California
Phone Number 8589393525
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1518042274
Provider Enumeration Date 2006-10-25
Last Updated Date 2012-10-17

Provider Mailing Address Detail

Address 7901 Frost St
City San Diego
State California (CA)
Post Code 921232701
Phone Number 8589393525
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No G50138
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;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G501380 CA --

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FAQs about Gary C. Clark

What is the Gary C. Clark's unique identification number?

The Gary C. Clark has been assigned the NPI (National Provider Identifier) Number 1518042274 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Gary C. Clark?

The Gary C. Clark is situated at 7901 Frost St, in the city of San Diego, state of CA, with the zip code 921232701.

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

The specialized field of practice for Gary C. Clark is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

When did Gary C. Clark receive its 1518042274 assignment?

The Gary C. Clark was assigned its 1518042274 on 2006-10-25, which is the date when this unique identifier was issued to the organization.

When was the information regarding Gary C. Clark most recently updated?

The details pertaining to the Gary C. Clark, including its address, specialty, and other relevant information, were last refreshed on 2012-10-17.

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