Search › Idaho › 363A00000X
Julie Clark, PA-C
NPI 1649214131 · on the registry since 2006
Practice
- Address
- 10255 Overland Rd
Boise, ID 83709 - Phone
- (208) 302-5600
- Fax
- (208) 302-5655
- Organisation at this address
- Genesis Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-17
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