George Jason Clevenger in Spencer - Surgical
George Jason Clevenger - NPI 1871554931
George Jason Clevenger is a Surgical in Spencer, . George Jason Clevenger practices all healthcare services and medical treatments related to Surgical. The NPI Number for George Jason Clevenger is 1871554931. The last update date is 2015-03-17.
George Jason Clevenger's current location address is 146 Williams Dr, Spencer, . You can contact this provider via phone number 3049271495. The mailing address for George Jason Clevenger is 146 Williams Dr, Spencer, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Jason Clevenger |
|---|---|
| Address | 146 Williams Dr, Spencer, |
| Phone Number | 3049271495 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1871554931 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2015-03-17 |
Provider Mailing Address Detail
| Address | 146 Williams Dr |
|---|---|
| City | Spencer |
| State | (WV) |
| Post Code | 252761826 |
| Phone Number | 3049271495 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the George Jason Clevenger's 1871554931?
The George Jason Clevenger's NPI (National Provider Identifier) Number is 1871554931. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of George Jason Clevenger?
The George Jason Clevenger is situated at 146 Williams Dr, in the city of Spencer, state of WV, with the zip code 252761826.
What is George Jason Clevenger's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The George Jason Clevenger's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
On what date did the George Jason Clevenger receive its 1871554931 assignment from the Centers for Medicare & Medicaid Services?
The George Jason Clevenger was assigned its 1871554931 by the Centers for Medicare & Medicaid Services on 2006-03-29.
As of what date were the details related to George Jason Clevenger most recently updated or revised?
The information pertaining to George Jason Clevenger, including its address, specialty, and other relevant details, was last updated or revised on 2015-03-17.