Rick C. Clark in Malad City - Physician Assistant
Rick C. Clark - NPI 1033190533
Rick C. Clark is a Physician Assistant in Malad City, Idaho. Rick C. Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rick C. Clark is 1033190533. The last update date is 2021-11-16.
Rick C. Clark's current location address is 220 Bannock St, Malad City, Idaho. You can contact this provider via phone number 2087662600 and fax number 2087664258. The mailing address for Rick C. Clark is 220 Bannock St, Malad City, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rick C. Clark |
|---|---|
| Address | 220 Bannock St, Malad City, Idaho |
| Phone Number | 2087662600 |
| Fax Number | 2087664258 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1033190533 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2021-11-16 |
Provider Mailing Address Detail
| Address | 220 Bannock St |
|---|---|
| City | Malad City |
| State | Idaho (ID) |
| Post Code | 832521256 |
| Phone Number | 2087662600 |
| Fax Number | 2087664258 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-749 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Post Comment/ Review Below
What is the unique identifier code issued to Rick C. Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Rick C. Clark has been assigned the NPI (National Provider Identifier) 1033190533. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Rick C. Clark's physical address?
The Rick C. Clark is physically located at 220 Bannock St, in the city of Malad City, ID, with the postal code 832521256.
What is Rick C. Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rick C. Clark is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033190533 to Rick C. Clark?
The Centers for Medicare & Medicaid Services originally issued the 1033190533 to Rick C. Clark on 2005-11-10.
When was the information regarding Rick C. Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Rick C. Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-16.