Steven Jon Clark in Pismo Beach - Foot & Ankle Surgery
Steven Jon Clark - NPI 1114952462
Steven Jon Clark is a Foot & Ankle Surgery in Pismo Beach, California. Steven Jon Clark practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Steven Jon Clark is 1114952462. The last update date is 2020-08-10.
Steven Jon Clark's current location address is 911 Oak Park Blvd, Pismo Beach, California. You can contact this provider via phone number 8054819100 and fax number 8054819199. The mailing address for Steven Jon Clark is 911 Oak Park Blvd, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Jon Clark |
|---|---|
| Address | 911 Oak Park Blvd, Pismo Beach, California |
| Phone Number | 8054819100 |
| Fax Number | 8054819199 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1114952462 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2020-08-10 |
Provider Mailing Address Detail
| Address | 911 Oak Park Blvd |
|---|---|
| City | Pismo Beach |
| State | California (CA) |
| Post Code | 934493406 |
| Phone Number | 8054819100 |
| Fax Number | 8054819199 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | E4336 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000E43360 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Steven Jon Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Steven Jon Clark has been assigned the NPI (National Provider Identifier) 1114952462. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Steven Jon Clark is geographically located?
The Steven Jon Clark is physically situated at the following location: 911 Oak Park Blvd, Pismo Beach, CA, 934493406.
What is Steven Jon Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Steven Jon Clark's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
On what date did Steven Jon Clark receive its 1114952462 assignment from the Centers for Medicare & Medicaid Services?
The Steven Jon Clark was assigned its 1114952462 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Steven Jon Clark's details last updated?
The information pertaining to the Steven Jon Clark, including its address, specialty, and other details, was most recently updated on 2020-08-10.