Clark A Davis is a Surgery in La Crosse, Wisconsin. Clark A Davis practices all healthcare services and medical treatments related to Surgery. The NPI Number for Clark A Davis is 1316942121. The last update date is 2023-03-14.
Clark A Davis's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Clark A Davis is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark A Davis |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316942121 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2023-03-14 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 5460154290 |
| Phone Number | 6087827300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36912 |
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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 |
|---|---|---|---|
| 34344900 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clark A Davis by the Centers for Medicare & Medicaid Services (CMS)?
The Clark A Davis has been assigned the NPI (National Provider Identifier) 1316942121. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Clark A Davis?
The Clark A Davis is physically situated at 1836 South Ave, in the city of La Crosse, state of WI, with the postal code 5460154290.
On what date did the Centers for Medicare & Medicaid Services issue the 1316942121 to Clark A Davis?
The Clark A Davis received its 1316942121 assignment from the Centers for Medicare & Medicaid Services on 2005-06-17.
When was the Clark A Davis's information last updated?
The Clark A Davis's information was last updated on 2023-03-14.
When was the information pertaining to Clark A Davis most recently updated or revised?
The details related to Clark A Davis, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-14.
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