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Search › Idaho › Internal Medicine Physician

Jack Clark, M.D

NPI 1902992837 · on the registry since 2006

Practice

Address
450 E Main St
Rexburg, ID 83440
Phone
(208) 359-6419
Fax
(208) 356-3111
Organisation at this address
Madison Memorial Hospital
Madison Memorial Hospital
Madison Physician Services
Mountain Valley Imaging Llc
Madison Co Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Additional practice sites

  • 166 S 5th St, Montpelier, ID

Registry record

Primary taxonomy
Internal Medicine Physician
207R00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-13

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