Search › Idaho › 222Q00000X

Peter Clark

NPI 1912812686 · on the registry since 2026 · sole proprietor

Practice

Address
1519 Princeton Dr
Twin Falls, ID 83301
Phone
(208) 410-6835

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-17

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