Thomas W Clark in Lebanon - Podiatrist

Thomas W Clark - NPI 1447251822

Thomas W Clark is a Podiatrist in Lebanon, Pennsylvania. Thomas W Clark practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Thomas W Clark is 1447251822. The last update date is 2023-03-07.

Thomas W Clark's current location address is 918 Russell Dr, Lebanon, Pennsylvania. You can contact this provider via phone number 7172733521 and fax number 7172735172. The mailing address for Thomas W Clark is 918 Russell Dr, Lebanon, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas W Clark
Address 918 Russell Dr, Lebanon, Pennsylvania
Phone Number 7172733521
Fax Number 7172735172
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1447251822
Provider Enumeration Date 2005-08-09
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 918 Russell Dr
City Lebanon
State Pennsylvania (PA)
Post Code 170427485
Phone Number 7172733521
Fax Number 7172735172

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No SC003084L
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

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FAQs about Thomas W Clark

What is the unique identification code assigned to Thomas W Clark by the Centers for Medicare & Medicaid Services?

The Thomas W Clark has been issued the NPI (National Provider Identifier) 1447251822. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Thomas W Clark?

The Thomas W Clark is situated at 918 Russell Dr, in the city of Lebanon, state of PA, with the zip code 170427485.

What is Thomas W Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Thomas W Clark is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1447251822 to Thomas W Clark?

The Centers for Medicare & Medicaid Services assigned the 1447251822 to Thomas W Clark on 2005-08-09.

As of what date were the Thomas W Clark's details last updated?

The information pertaining to the Thomas W Clark, including its address, specialty, and other details, was most recently updated on 2023-03-07.

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