Jeffery R Clark is a Surgery in Wheat Ridge, Colorado. Jeffery R Clark practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jeffery R Clark is 1043259211. The last update date is 2007-07-08.
Jeffery R Clark's current location address is 8300 W 38th Ave, Wheat Ridge, Colorado. You can contact this provider via phone number 3034033880 and fax number 3034258111. The mailing address for Jeffery R Clark is 8300 W 38th Ave, Wheat Ridge, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery R Clark |
|---|---|
| Address | 8300 W 38th Ave, Wheat Ridge, Colorado |
| Phone Number | 3034033880 |
| Fax Number | 3034258111 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1043259211 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8300 W 38th Ave |
|---|---|
| City | Wheat Ridge |
| State | Colorado (CO) |
| Post Code | 800336005 |
| Phone Number | 3034033880 |
| Fax Number | 3034258111 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 20130 |
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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 |
|---|---|---|---|
| 1201300 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffery R Clark?
The Jeffery R Clark has been issued the NPI (National Provider Identifier) 1043259211 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jeffery R Clark's facilities are geographically located?
The facilities of Jeffery R Clark are physically situated at the following location: 8300 W 38Th Ave, Wheat Ridge, CO, 800336005.
What is the Jeffery R Clark's area of specialization and corresponding taxonomy classification?
The Jeffery R Clark's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did the Jeffery R Clark receive its 1043259211 assignment from the Centers for Medicare & Medicaid Services?
The Jeffery R Clark was assigned its 1043259211 by the Centers for Medicare & Medicaid Services on 2006-06-05.
When was the information regarding Jeffery R Clark most recently updated?
The details pertaining to the Jeffery R Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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