Darin T Clark in Fenton - Physician Assistant

Darin T Clark - NPI 1568439537

Darin T Clark is a Physician Assistant in Fenton, Michigan. Darin T Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Darin T Clark is 1568439537. The last update date is 2007-07-09.

Darin T Clark's current location address is 102 N Adelaide St, Fenton, Michigan. You can contact this provider via phone number 8106292245 and fax number 8106296535. The mailing address for Darin T Clark is 102 N Adelaide St, Fenton, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Darin T Clark
Address 102 N Adelaide St, Fenton, Michigan
Phone Number 8106292245
Fax Number 8106296535
Sole Proprietor X
Credentials P.A.-C

NPI Number Detail

NPI Number 1568439537
Provider Enumeration Date 2006-03-08
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 102 N Adelaide St
City Fenton
State Michigan (MI)
Post Code 484302670
Phone Number 8106292245
Fax Number 8106296535

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601003906
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MC0921785 MI MEDICARE RR ID

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FAQs about Darin T Clark

What is the unique 10-digit identifier code assigned to Darin T Clark by the Centers for Medicare & Medicaid Services?

The Darin T Clark has been issued the NPI (National Provider Identifier) 1568439537 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Darin T Clark is located?

The Darin T Clark is situated at the following address: 102 N Adelaide St, Fenton, MI, 484302670.

Could you kindly provide the complete physical address where Darin T Clark's facilities are geographically located?

The facilities of Darin T Clark are physically situated at the following location: 102 N Adelaide St, Fenton, MI, 484302670.

What is Darin T Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Darin T Clark is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

As of what date was the information regarding Darin T Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Darin T Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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