Dr. Edwin Allen Clark is a Little Rock, Arkansas based male podiatrist who is specialized in Podiatry. Active license number of Dr. Edwin Allen Clark for Podiatry is 89 in Arkansas. Dr. Edwin Allen Clark is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Edwin Allen Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
1501 Aldersgate Rd, Little Rock, Arkansas, 72205-6611
Phone:
501-224-1501
Fax:
501-376-7065
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1346213626
NPI Enumeration Date:
08 Feb, 2006
NPI Last Update On:
07 Jul, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edwin Allen Clark are as mentioned below.
License Number
Specialization
State
Status
89
Podiatry
Arkansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edwin Allen Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
480017088
Other
RR MEDICARE
56081
Other
Arkansas
FIRST SOURCE PPO
56081
Other
Arkansas
BLUE CROSS SHIELD
56081
Other
Arkansas
BCBS FEP
56081
Other
Arkansas
BLUE ADVANTAGE
109956017
Medicaid
Arkansas
56081
Other
Arkansas
HEALTH ADVANTAGE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1501 Aldersgate Rd, Little Rock, Arkansas
Zip:
72205-6611
Phone Number:
501-224-1501
Fax Number:
501-376-7065
Patients can reach Dr. Edwin Allen Clark at 1501 Aldersgate Rd, Little Rock, Arkansas or can call to book an appointment on 501-224-1501. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
Similar Podiatrist in Little Rock, AR
Dr. Richard A Bronfman, DPM Speciality: Podiatrist Address: 1501 Aldersgate Rd, AR Phone: 501-224-1501 Fax: 501-376-7065