Richard Lee Clark, CPO

NPI #1972334951 in Great Falls, Montana

Provider Information

NPI Number: 1972334951
Entity Type: Individual
Name: Richard Lee Clark, CPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CPO
Enumeration Date: Aug 12, 2024
Last Updated: Aug 12, 2024

Practice Location

Address: 816 9TH ST S
City: Great Falls
State: Montana
ZIP Code: 59405-2136
Phone: (406) 452-8428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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