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Contact Information

CLARK W PILLSBURY, DPM, LLC
10463 DOUBLE R BLVD
SUITE 100
RENO, NV89521-8908
 Phone: 775-358-2542
 Fax: 775-358-1413
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CLARK W PILLSBURY, DPM, LLC

NPI # 1760667935
LBN Legal business name CLARK W PILLSBURY, DPM, LLC
Authorized official CLARK PILLSBURY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/07/2008
Last updated 04/15/2008 - About 18 years ago
Identifiers
NV License # 8801
NV Medicaid 002116004
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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