Tyler Clark, MD
NPI #1124414305 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1124414305
- Entity Type
- Individual
- Name
- Tyler Clark, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Apr 14, 2015
- Last Updated
- Apr 16, 2024
Practice Location
- Address
- 1701 LINCOLN WAY
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2537
- Phone
- (208) 625-4955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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