Individual
STEVEN DONALD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2220 MORMON TREK BLVD, IOWA CITY, IA 52246-4435
(319) 366-1886
(319) 366-1611
Mailing address
2220 MORMON TREK BLVD, IOWA CITY, IA 52246-4435
(319) 366-1886
(319) 366-1611
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
02886
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665430
—
IA
Enumeration date
09/15/2006
Last updated
08/20/2013
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