Individual
CHARLES MALCOLM CLAIR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 8TH ST, RUPERT, ID 83350-1599
(208) 436-0481
(208) 436-6038
Mailing address
1322 STONERIDGE DR, POCATELLO, ID 83201-5043
(208) 436-0481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-10525
ID
208M00000X
Hospitalist Physician
M-10525
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11479847
AAMC ID
—
Enumeration date
06/25/2007
Last updated
02/05/2025
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