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Individual

MR. RODNEY JAMES CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
5921 SE 14TH ST STE 2500, DES MOINES, IA 50320-1747
(515) 287-5757
Mailing address
6800 LAKE DR STE 285, WEST DES MOINES, IA 50266-2544
(515) 226-3116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A127066
IA
363LF0000X
Family Nurse Practitioner
Primary
A127066
IA

Other

Enumeration date
07/09/2018
Last updated
11/02/2023
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