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Tyler Clark, MD

NPI 1124414305 · on the registry since 2015

Practice

Address: 1701 Lincoln Way
Coeur D Alene, ID 83814
Phone: (208) 625-4955
Fax: (208) 625-4956
Organisation at this address: North Idaho Medical Care Centers
North Idaho Medical Care Centers Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Family Medicine Physician
207Q00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-04-16

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