Organization
CLARK FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARLA CLARK DO (OWNER/PHYSICIAN)
(208) 595-6976
Entity
Organization
Contact information
Practice address
1246 YELLOWSTONE AVE STE A2, POCATELLO, ID 83201-4372
(208) 595-6976
(208) 480-9590
Mailing address
1246 YELLOWSTONE AVE STE A2, POCATELLO, ID 83201-4372
(208) 595-6976
(208) 480-9590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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