Debra Doublet Clark in Pine Bluff - Physician Assistant
Debra Doublet Clark - NPI 1649236472
Debra Doublet Clark is a Physician Assistant in Pine Bluff, Arkansas. Debra Doublet Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Debra Doublet Clark is 1649236472. The last update date is 2009-02-23.
Debra Doublet Clark's current location address is 1609 W 40th Ave, Pine Bluff, Arkansas. You can contact this provider via phone number 8705343449 and fax number 8705353973. The mailing address for Debra Doublet Clark is 1609 W 40th Ave, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Doublet Clark |
|---|---|
| Address | 1609 W 40th Ave, Pine Bluff, Arkansas |
| Phone Number | 8705343449 |
| Fax Number | 8705353973 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1649236472 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2009-02-23 |
Provider Mailing Address Detail
| Address | 1609 W 40th Ave |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716036329 |
| Phone Number | 8705343449 |
| Fax Number | 8705353973 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA163 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique provider identifier assigned to Debra Doublet Clark?
The Debra Doublet Clark has been issued the NPI (National Provider Identifier) 1649236472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Debra Doublet Clark by the Centers for Medicare & Medicaid Services?
The Debra Doublet Clark has been assigned the NPI (National Provider Identifier) 1649236472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Debra Doublet Clark is geographically located?
The Debra Doublet Clark is physically situated at the following location: 1609 W 40Th Ave, Pine Bluff, AR, 716036329.
What is Debra Doublet Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Debra Doublet Clark is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
As of what date were the details pertaining to Debra Doublet Clark last refreshed?
The information related to the Debra Doublet Clark, including its address, specialty, and other relevant details, was last updated on 2009-02-23.