Individual
CARL HUGH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
795 SUNSET BLVD STE B, KALISPELL, MT 59901
(406) 257-4327
(407) 257-4395
Mailing address
795 SUNSET BLVD STE B, KALISPELL, MT 59901-3699
(406) 257-4327
(407) 257-4395
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
422
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0569543
—
MT
01
—
29308
AUDIOLOGIST
MT
Enumeration date
06/07/2007
Last updated
06/19/2018
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