RICHARD LEE CLARK

GREAT FALLS, MT
NPI1972334951
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: MT  CPO00675)
Enumeration Date2024-08-12
Last Update Date2024-08-12
Business Address
RICHARD LEE CLARK CPO
816 9TH ST S
GREAT FALLS, MT 59405-2136
Phone number: 406-452-8428
Mailing Address
RICHARD LEE CLARK CPO
816 9TH ST S
GREAT FALLS, MT 59405-2136
Phone number: 406-452-8428