Mark Reid Clutter in Lafayette - Physician Assistant
Mark Reid Clutter - NPI 1245278555
Mark Reid Clutter is a Physician Assistant in Lafayette, Louisiana. Mark Reid Clutter practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark Reid Clutter is 1245278555. The last update date is 2019-06-20.
Mark Reid Clutter's current location address is 200 Corporate Blvd, Lafayette, Louisiana. You can contact this provider via phone number 8008939698. The mailing address for Mark Reid Clutter is 200 Corporate Blvd, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Reid Clutter |
|---|---|
| Address | 200 Corporate Blvd, Lafayette, Louisiana |
| Phone Number | 8008939698 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1245278555 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2019-06-20 |
Provider Mailing Address Detail
| Address | 200 Corporate Blvd |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705083870 |
| Phone Number | 8008939698 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50001285 |
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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 10-digit identification code assigned to Mark Reid Clutter by the Centers for Medicare & Medicaid Services?
The Mark Reid Clutter has been issued the NPI (National Provider Identifier) 1245278555, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark Reid Clutter is geographically located?
The Mark Reid Clutter is physically situated at the following location: 200 Corporate Blvd, Lafayette, LA, 705083870.
What is Mark Reid Clutter's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Reid Clutter is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245278555 to Mark Reid Clutter?
The Centers for Medicare & Medicaid Services originally issued the 1245278555 to Mark Reid Clutter on 2006-06-02.
When was the Mark Reid Clutter's information last updated?
The Mark Reid Clutter's information was last updated on 2019-06-20.