DR. DALLAS CLARK, MD
Family Medicine
Active
Individual
NPI: 1669822664
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | MED-PHYS-LIC-77353 (MT) |
Frequently Asked Questions
NPI 1669822664 is the National Provider Identifier for DR. DALLAS CLARK, MD, a Family Medicine provider located in Red Lodge, MT. This NPI was enumerated on June 21, 2016.
DR. DALLAS CLARK, MD practices at 2525 N BROADWAY AVE, Red Lodge, MT 59068.
Quick Facts
- NPI
- 1669822664
- Type
- Individual
- Enumerated
- Jun 21, 2016
- Last Updated
- Sep 6, 2019
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