EDWARD T CLARK

SIOUX FALLS, SD
NPI1972559300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SD  2238)
Enumeration Date2006-05-26
Last Update Date2022-04-08
Business Address
EDWARD T CLARK
4405 E 26TH ST
SIOUX FALLS, SD 57103-4187
Phone number: 605-332-2883
Mailing Address
EDWARD T CLARK
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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