Search › Idaho › 207P00000X
Bradley Clark, M.D
NPI 1124354964 · on the registry since 2009 · sole proprietor
Practice
- Address
- 423 E Elaine Cir
Inkom, ID 83245 - Phone
- (208) 251-9482
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-10-29
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