Theresa Ross Clark in Vista - Student In An Organized Health Care Education/training Program

Theresa Ross Clark - NPI 1528104650

Theresa Ross Clark is a Student In An Organized Health Care Education/training Program in Vista, California. Theresa Ross Clark practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Theresa Ross Clark is 1528104650. The last update date is 2012-09-05.

Theresa Ross Clark's current location address is 2067 W Vista Way, Vista, California. You can contact this provider via phone number 7607262180. The mailing address for Theresa Ross Clark is 2067 W Vista Way, Vista, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa Ross Clark
Address 2067 W Vista Way, Vista, California
Phone Number 7607262180
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1528104650
Provider Enumeration Date 2007-01-29
Last Updated Date 2012-09-05

Provider Mailing Address Detail

Address 2067 W Vista Way
City Vista
State California (CA)
Post Code 9208360310
Phone Number 7607262180
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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FAQs about Theresa Ross Clark

What is the unique 10-digit identifier code issued to Theresa Ross Clark by the Centers for Medicare & Medicaid Services?

The Theresa Ross Clark has been assigned the NPI (National Provider Identifier) 1528104650 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Theresa Ross Clark's facilities are geographically located?

The facilities of Theresa Ross Clark are physically situated at the following location: 2067 W Vista Way, Vista, CA, 9208360310.

What is Theresa Ross Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Theresa Ross Clark is Student In An Organized Health Care Education/training Program, and the taxonomy code that categorizes this field of expertise is 390200000X.

On what date did the Theresa Ross Clark receive the assignment of its 1528104650 from the Centers for Medicare & Medicaid Services?

The Theresa Ross Clark was issued its 1528104650 by the Centers for Medicare & Medicaid Services on 2007-01-29.

When was the information pertaining to Theresa Ross Clark most recently updated or revised?

The details related to Theresa Ross Clark, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-05.

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