Walter D Clark is a Podiatrist in Birmingham, Alabama. Walter D Clark practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Walter D Clark is 1700864238. The last update date is 2013-11-13.
Walter D Clark's current location address is 805 St. Vincent's Drive, Birmingham, Alabama. You can contact this provider via phone number 2053248511 and fax number 2053148551. The mailing address for Walter D Clark is 805 St. Vincent's Drive, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter D Clark |
|---|---|
| Address | 805 St. Vincent's Drive, Birmingham, Alabama |
| Phone Number | 2053248511 |
| Fax Number | 2053148551 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1700864238 |
|---|---|
| Provider Enumeration Date | 2006-01-05 |
| Last Updated Date | 2013-11-13 |
Provider Mailing Address Detail
| Address | 805 St. Vincent's Drive |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 352052704 |
| Phone Number | 2053248511 |
| Fax Number | 2053148551 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 48 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CL000070338 | AL | -- | |
| 51070338 | AL | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Walter D Clark by the Centers for Medicare & Medicaid Services?
The Walter D Clark has been assigned the NPI (National Provider Identifier) 1700864238. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Walter D Clark's physical address?
The Walter D Clark is physically located at 805 St. Vincent'S Drive, in the city of Birmingham, AL, with the postal code 352052704.
What is Walter D Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Walter D Clark is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700864238 to Walter D Clark?
The Centers for Medicare & Medicaid Services assigned the 1700864238 to Walter D Clark on 2006-01-05.
When was the Walter D Clark's information last updated?
The Walter D Clark's information was last updated on 2013-11-13.