MEDICARE: WILLIAM CLEARFIELD DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS004244L	PA
2	207Q00000X	Family Medicine Physician	DO1474	NV
3	207Q00000X	Family Medicine Physician	20A12513	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	404636	OTHER	NV	MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437162864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM CLEARFIELD DO

Provider Business Mailing Address
First Line	:	1625 E PRATER WAY STE 103
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89434-8963
Country	:	US
Telephone Number	:	775-750-2189
Fax Number	:	775-358-6843

Provider Business Practice Location Address
First Line	:	1625 E PRATER WAY STE 103
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89434-8963
Country	:	US
Telephone Number	:	775-750-2189
Fax Number	:	775-358-6843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	08/26/2013

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Directions to “ WILLIAM CLEARFIELD DO” Practice Location

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