DR. STEVE EDWARD CLARK M.D. NPI 1255479424

NPI Information

DR. Steve Edward Clark, M.D. is a specialist in Wailuku, HI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Steve Edward Clark, M.D. NPI is 1255479424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1885 MAIN ST STE 405
WAILUKU, HI
ZIP 96793-828
Phone: (808) 242-8526

The CLIA number assigned to this NPI record is 12D0619925 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 3/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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