Vernon Clark in San Diego - Physician Assistant
Vernon Clark - NPI 1104910389
Vernon Clark is a Physician Assistant in San Diego, California. Vernon Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Vernon Clark is 1104910389. The last update date is 2007-07-08.
Vernon Clark's current location address is Po Box 15160, San Diego, California. You can contact this provider via phone number 6192674255 and fax number 6192677937. The mailing address for Vernon Clark is Po Box 15160, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vernon Clark |
|---|---|
| Address | Po Box 15160, San Diego, California |
| Phone Number | 6192674255 |
| Fax Number | 6192677937 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1104910389 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 15160 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921755160 |
| Phone Number | 6192674255 |
| Fax Number | 6192677937 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10853 |
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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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Post Comment/ Review Below
Could you provide the complete address where Vernon Clark is physically located?
The Vernon Clark is situated at the following address: Po Box 15160, San Diego, CA 921755160.
What is Vernon Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vernon Clark's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
What is Vernon Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Vernon Clark is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1104910389 assigned to Vernon Clark?
The Vernon Clark was issued its 1104910389 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Vernon Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Vernon Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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