DR. Dallas Elise Clark, MD

NPI #1669822664 in Red Lodge, Montana

Provider Information

NPI Number: 1669822664
Entity Type: Individual
Name: DR. Dallas Elise Clark, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 21, 2016
Last Updated: Sep 6, 2019

Practice Location

Address: 2525 N BROADWAY AVE
City: Red Lodge
State: Montana
ZIP Code: 59068
Phone: (406) 446-2345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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