DALLAS ELISE CLARK

RED LODGE, MT
NPI1669822664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MT  MED-PHYS-LIC-77353)
Enumeration Date2016-06-21
Last Update Date2019-09-06
Business Address
DR. DALLAS ELISE CLARK MD
2525 N BROADWAY AVE
RED LODGE, MT 59068
Phone number: 406-446-2345
Mailing Address
DR. DALLAS ELISE CLARK MD
2525 N BROADWAY AVE
RED LODGE, MT 59068-9222
Phone number: 406-446-2345
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