RICK CLARK JR., PA
Physician Assistant
Active
Individual
NPI: 1033190533
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA-749 (ID) |
Frequently Asked Questions
NPI 1033190533 is the National Provider Identifier for RICK CLARK JR., PA, a Physician Assistant provider located in Malad City, ID. This NPI was enumerated on November 10, 2005.
RICK CLARK JR., PA practices at 220 BANNOCK ST, SUITE 306, Malad City, ID 83252.
Quick Facts
- NPI
- 1033190533
- Type
- Individual
- Enumerated
- Nov 10, 2005
- Last Updated
- Nov 16, 2021
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