JACK CLARK, M.D.
Internal Medicine
Active
Individual
NPI: 1902992837
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | M-7743 (ID) |
Frequently Asked Questions
NPI 1902992837 is the National Provider Identifier for JACK CLARK, M.D., a Internal Medicine provider located in Rexburg, ID. This NPI was enumerated on October 5, 2006.
JACK CLARK, M.D. practices at 450 E MAIN ST, Rexburg, ID 83440.
Quick Facts
- NPI
- 1902992837
- Type
- Individual
- Enumerated
- Oct 5, 2006
- Last Updated
- Apr 13, 2020
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