David Clark Poulter in Cambridge - Orthopedic
David Clark Poulter - NPI 1508831090
David Clark Poulter is a Orthopedic in Cambridge, Minnesota. David Clark Poulter practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for David Clark Poulter is 1508831090. The last update date is 2018-10-11.
David Clark Poulter's current location address is 137 2nd Ave Sw, Cambridge, Minnesota. You can contact this provider via phone number 7636892462 and fax number 7636891688. The mailing address for David Clark Poulter is 137 2nd Ave Sw, Cambridge, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Clark Poulter |
|---|---|
| Address | 137 2nd Ave Sw, Cambridge, Minnesota |
| Phone Number | 7636892462 |
| Fax Number | 7636891688 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1508831090 |
|---|---|
| Provider Enumeration Date | 2006-02-20 |
| Last Updated Date | 2018-10-11 |
Provider Mailing Address Detail
| Address | 137 2nd Ave Sw |
|---|---|
| City | Cambridge |
| State | Minnesota (MN) |
| Post Code | 550081502 |
| Phone Number | 7636892462 |
| Fax Number | 7636891688 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 5708 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the unique identification code assigned to David Clark Poulter by the Centers for Medicare & Medicaid Services?
The David Clark Poulter has been issued the NPI (National Provider Identifier) 1508831090. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the David Clark Poulter's physical address?
The David Clark Poulter is physically located at 137 2Nd Ave Sw, in the city of Cambridge, MN, with the postal code 550081502.
What is David Clark Poulter's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Clark Poulter's area of specialization is Orthopedic, and the corresponding taxonomy code that categorizes this field of practice is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508831090 to David Clark Poulter?
The Centers for Medicare & Medicaid Services originally issued the 1508831090 to David Clark Poulter on 2006-02-20.
When was the information related to David Clark Poulter most recently updated or refreshed?
The details pertaining to the David Clark Poulter, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-10-11.