William S. Clark in Modesto - General Practice
William S. Clark - NPI 1770690430
William S. Clark is a General Practice in Modesto, California. William S. Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for William S. Clark is 1770690430. The last update date is 2022-05-12.
William S. Clark's current location address is 1235 Mchenry Ave, Modesto, California. You can contact this provider via phone number 8183988527 and fax number 2092547900. The mailing address for William S. Clark is 1235 Mchenry Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William S. Clark |
|---|---|
| Address | 1235 Mchenry Ave, Modesto, California |
| Phone Number | 8183988527 |
| Fax Number | 2092547900 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1770690430 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2022-05-12 |
Provider Mailing Address Detail
| Address | 1235 Mchenry Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953505370 |
| Phone Number | 8183988527 |
| Fax Number | 2092547900 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 20A8748 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00AX87480 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to William S. Clark by the Centers for Medicare & Medicaid Services?
The William S. Clark has been assigned the NPI (National Provider Identifier) 1770690430. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where William S. Clark's facilities are geographically located?
The facilities of William S. Clark are physically situated at the following location: 1235 Mchenry Ave, Modesto, CA, 953505370.
What is William S. Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for William S. Clark is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
When did William S. Clark receive its 1770690430 assignment?
The William S. Clark was assigned its 1770690430 on 2006-08-25, which is the date when this unique identifier was issued to the organization.
As of what date were the William S. Clark's details last updated?
The information pertaining to the William S. Clark, including its address, specialty, and other details, was most recently updated on 2022-05-12.
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