- Practice location
- 1 Ridgewood Drive, Bangor, ME 04401
- Phone
- 207-945-6200
- Fax
- 207-990-3015
- Last updated
- December 10, 2013
Tracey Durkovich Clark is an Ophthalmology based in Bangor, ME. Tracey Durkovich Clark practices in Bangor, ME and has the professional credentials of DO. The NPI Number for Tracey Durkovich Clark is 1437314127 and holds a License No. OT012459 (PA). The current practice location address for Tracey Durkovich Clark is 1 Ridgewood Drive, Bangor, ME 04401 and can be reached out via phone at 207-945-6200 and via fax at 207-990-3015.
Provider Profile Details
- NPI Number
- 1437314127
- Provider Name
- Tracey Durkovich Clark
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Ridgewood Drive, Bangor, ME 04401
- Phone Number
- 207-945-6200
- Fax Number
- 207-990-3015
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- No
- Other Names
- -- Tracey Erin Durkovich, DO (Former Name)
- Provider Enumeration Date
- July 23, 2008
- Last Update Date
- December 10, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Ridgewood Drive
Bangor, ME 04401 - City
- Bangor
- State
- Maine
- Zip
- 04401
- Phone Number
- 207-945-6200
- Fax Number
- 207-990-3015
Provider Business Mailing Address Details
- Address
- 1 Ridgewood Dr
Bangor, ME 04401 - City
- Bangor
- State
- ME
- Zip
- 04401
- Phone Number
- 207-945-6200
- Fax Number
- 207-990-3015
License Information
- License Number (1)
- OT012459
- License State (1)
- PA
- Taxonomy (1)
- Ophthalmology · 207W00000X
- License Number (2)
- 2313
- License State (2)
- ME
- Taxonomy (2)
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Tracey D Clark, DO?
The NPI number of Dr. Tracey D Clark, DO is 1437314127. It was assigned on July 23, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Tracey D Clark, DO?
Dr. Tracey D Clark, DO is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in PA under license number OT012459.
Where does Dr. Tracey D Clark, DO practice?
The practice location is 1 Ridgewood Drive, Bangor, ME 04401. The office can be reached at 207-945-6200 (phone) or 207-990-3015 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437314127 directly on the NPPES registry website.