Clark Family Medicine
Clark Family Medicine provides Family Medicine Physician services in Pocatello, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1246 Yellowstone Ave Ste A2Pocatello, ID 83201-4372
Phone: (208) 595-6976
Fax: (208) 480-9590
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1518740091 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sharla Clark — Owner/Physician · (208) 595-6976 |
| NPI enumerated | August 17, 2023 |
| Last updated in NPPES | August 17, 2023 |
| Certification date | August 17, 2023 |
| Mailing address | 1246 Yellowstone Ave Ste A2, Pocatello, ID 83201-4372 |
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