Robert Charles Clark in Dothan - Nurse Anesthetist, Certified Registered
Robert Charles Clark - NPI 1992766703
Robert Charles Clark is a Nurse Anesthetist, Certified Registered in Dothan, Alabama. Robert Charles Clark practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Robert Charles Clark is 1992766703. The last update date is 2011-07-25.
Robert Charles Clark's current location address is Po Box 6907, Dothan, Alabama. You can contact this provider via phone number 3347935000 and fax number 3346158428. The mailing address for Robert Charles Clark is Po Box 6907, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Charles Clark |
---|---|
Address | Po Box 6907, Dothan, Alabama |
Phone Number | 3347935000 |
Fax Number | 3346158428 |
Sole Proprietor | N |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1992766703 |
---|---|
Provider Enumeration Date | 2006-03-31 |
Last Updated Date | 2011-07-25 |
Provider Mailing Address Detail
Address | Po Box 6907 |
---|---|
City | Dothan |
State | Alabama (AL) |
Post Code | 36302 |
Phone Number | 3347935000 |
Fax Number | 3346158428 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
---|---|
Taxonomy | 367500000X |
Licence No | 1044483 |
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
691173405B | GA | -- | |
34384600 | FL | -- | |
51515739 | AL | -- | |
51515739 | AL | BCBS AL | |
P00057714 | RR MCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Robert Charles Clark by the Centers for Medicare & Medicaid Services?
The Robert Charles Clark has been assigned the NPI (National Provider Identifier) 1992766703 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Robert Charles Clark is physically located?
The Robert Charles Clark is physically situated at the following address: Po Box 6907, Dothan, AL, 36302.
What is Robert Charles Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert Charles Clark is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.
On what date did the Robert Charles Clark receive the assignment of its 1992766703 from the Centers for Medicare & Medicaid Services?
The Robert Charles Clark was issued its 1992766703 by the Centers for Medicare & Medicaid Services on 2006-03-31.
When was the information related to Robert Charles Clark most recently updated or refreshed?
The details pertaining to the Robert Charles Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-07-25.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN