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Individual

DR. RICHARD A. CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 328-2929
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19750
NE
207RC0000X
Cardiovascular Disease Physician
Primary
7501
SD

Other

Enumeration date
08/20/2006
Last updated
08/19/2024
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