Provider Demographics
NPI:1194380196
Name:HOUK, CLIFTON RUPERT JENKINS (MD)
Entity Type:Individual
Prefix:DR
First Name:CLIFTON
Middle Name:RUPERT JENKINS
Last Name:HOUK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CLIFTON
Other - Middle Name:RUPERT
Other - Last Name:JENKINS-HOUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVENUE BOX 670
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-276-5655
Mailing Address - Fax:585-756-5183
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-276-5655
Practice Address - Fax:585-756-5183
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program