Douglas A. Clark in North Little Rock - Medical

Douglas A. Clark - NPI 1326038035

Douglas A. Clark is a Medical in North Little Rock, Arkansas. Douglas A. Clark practices all healthcare services and medical treatments related to Medical. The NPI Number for Douglas A. Clark is 1326038035. The last update date is 2022-07-05.

Douglas A. Clark's current location address is 4261 Stockton Drive Suite Ll100, North Little Rock, Arkansas. You can contact this provider via phone number 5019757456 and fax number 5019781822. The mailing address for Douglas A. Clark is 4261 Stockton Drive Suite Ll100, North Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas A. Clark
Address 4261 Stockton Drive Suite Ll100, North Little Rock, Arkansas
Phone Number 5019757456
Fax Number 5019781822
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1326038035
Provider Enumeration Date 2005-10-25
Last Updated Date 2022-07-05

Provider Mailing Address Detail

Address 4261 Stockton Drive Suite Ll100
City North Little Rock
State Arkansas (AR)
Post Code 721172962
Phone Number 5019757456
Fax Number 5019781822

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
197623795 AR --

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FAQs about Douglas A. Clark

What is the Douglas A. Clark's unique identification number?

The Douglas A. Clark has been assigned the NPI (National Provider Identifier) Number 1326038035 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Douglas A. Clark is located?

The Douglas A. Clark is situated at the following address: 4261 Stockton Drive Suite Ll100, North Little Rock, AR, 721172962.

What is the Douglas A. Clark's specialty and taxonomy code?

The Douglas A. Clark's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

When did Douglas A. Clark receive its 1326038035 assignment?

The Douglas A. Clark was assigned its 1326038035 on 2005-10-25, which is the date when this unique identifier was issued to the organization.

When was the information regarding Douglas A. Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Douglas A. Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-05.

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