Organization
CLARK'S ORTHOPEDIC & MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L CLARK CPO (PRESIDENT)
(406) 452-8428
Entity
Organization
Contact information
Practice address
2808 BILLINGS AVE, HELENA, MT 59601-9768
(406) 442-6069
(406) 442-2765
Mailing address
816 9TH ST S, GREAT FALLS, MT 59405-2136
(406) 452-8428
(406) 452-8741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0631176
—
MT
Enumeration date
03/20/2007
Last updated
03/13/2008
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