Charles Clark III, MD

NPI #1114346434 in Nampa, Idaho

Provider Information

NPI Number: 1114346434
Entity Type: Individual
Name: Charles Clark III, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Apr 15, 2014
Last Updated: Jan 13, 2021

Practice Location

Address: 9850 W ST LUKES DR
City: Nampa
State: Idaho
ZIP Code: 83687-7912
Phone: (208) 706-2663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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