Rick Clark, PA

NPI 1033190533 · on the registry since 2005

Practice

Address: 220 Bannock St
Suite 306
Malad City, ID 83252
Phone: (208) 766-2600
Fax: (208) 766-4258
Organisation at this address: Oneida County Hospital
Oneida County Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho