DR. James M Clark, D.O.

NPI #1578523577 in Moscow, Idaho

Provider Information

NPI Number: 1578523577
Entity Type: Individual
Name: DR. James M Clark, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Mar 24, 2006
Last Updated: Apr 16, 2019

Practice Location

Address: 700 S MAIN ST
City: Moscow
State: Idaho
ZIP Code: 83843
Phone: (208) 882-4511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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