Organization
CLARK AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LYNN BATHEN (COMPLIANCE OFFICER)
(319) 233-8911
Entity
Organization
Contact information
Practice address
3109 S CENTER ST # 102, MARSHALLTOWN, IA 50158
(641) 753-0067
(641) 753-1106
Mailing address
527 PARK LN, SUITE 100, WATERLOO, IA 50702-5236
(319) 233-8911
(319) 287-5350
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487835
—
IA
Enumeration date
11/06/2006
Last updated
05/17/2018
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