Individual
DEWEY K. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
(319) 384-6004
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
(319) 384-6004
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
35235
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35335
WELLMARK BCBS
IA
Enumeration date
05/22/2007
Last updated
09/17/2007
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