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1124414305
TYLER CLARK
COEUR D ALENE, ID
NPI
1124414305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-14362)
Enumeration Date
2015-04-14
Last Update Date
2024-04-16
Business Address
TYLER CLARK MD
1701 LINCOLN WAY
COEUR D ALENE, ID 83814-2537
Phone number: 208-625-4955
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Mailing Address
TYLER CLARK MD
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-4955
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