RICK C. CLARK

MALAD CITY, ID
NPI1033190533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-749)
Enumeration Date2005-11-10
Last Update Date2021-11-16
Business Address
RICK C. CLARK PA
220 BANNOCK ST SUITE 306
MALAD CITY, ID 83252-1256
Phone number: 208-766-2600
Mailing Address
RICK C. CLARK PA
PO BOX 126 SUITE 306
MALAD CITY, ID 83252-0126
Phone number: 208-766-2231
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