National Provider Identifier

Clifton Rupert Jenkins Houk, M.D.

Clifton Rupert Jenkins Houk, M.D. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 276-5655.

NPI 1194380196Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1194380196
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 06, 2019
Last Updated
May 06, 2019

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 276-5655

Mailing Address

  • 601 Elmwood Avenue Box 670
  • Rochester, NY 14642-0001

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1194380196
Entity Type
Individual
Last Name
Houk
First Name
Clifton
Middle Name
Rupert Jenkins
Name Prefix
Dr.
Credential
M.D.
Provider Other Last Name
Jenkins-Houk
Provider Other First Name
Clifton
Provider Other Middle Name
Rupert
Provider Other Last Name Type Code
1
Mailing Street Address
601 Elmwood Avenue Box 670
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 276-5655
Mailing Fax
(585) 756-5183
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 276-5655
Practice Fax
(585) 756-5183
Enumeration Date
May 06, 2019
Last Updated
May 06, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)