JACK O. CLARK

REXBURG, ID
NPI1902992837
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  M-7743)
Enumeration Date2006-10-05
Last Update Date2020-04-13
Business Address
JACK O. CLARK M.D.
450 E MAIN ST
REXBURG, ID 83440
Phone number: 208-359-6419
Mailing Address
JACK O. CLARK M.D.
450 E MAIN ST
REXBURG, ID 83440-2048
Phone number: 208-359-6419
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