Individual
DR. SHARLA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1951 BENCH ROAD, SUITE B, POCATELLO, ID 83201-4008
(208) 238-1000
(208) 238-0009
Mailing address
1951 BENCH RD STE B, POCATELLO, ID 83201-2073
(208) 238-1000
(208) 238-0009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MRO-1246
ID
207Q00000X
Family Medicine Physician
Primary
O-0750
ID
Other
Enumeration date
06/20/2012
Last updated
12/09/2015
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