Search › Idaho › 1223S0112X
Paul Clark, D.M.D, M.D
NPI 1689994923 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1502 Locust St N Ste 103
Twin Falls, ID 83301 - Phone
- (208) 831-2900
- Organisation at this address
- Asthma & Allergy Of Idaho
Clark Oral & Facial Surgery
Recover Physical Therapy, Llc
Asthma & Allergy Of Idaho Pllc
Recover Physical Therapy, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 1404 Pomerelle Ave, Burley, ID
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
- Licence states on file
- ID, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-15
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