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Search › Idaho › 183500000X

Brandon Clark

NPI 1114834488 · on the registry since 2026

Practice

Address
777 Hospital Way
Pocatello, ID 83201
Phone
(208) 239-1382
Organisation at this address
Cds,Pa
Rcp Inc
Bmh Inc.
Cep America Llc
Teton Spine, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
143

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-25

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