Individual
DR. CRAIG B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1301 PENN AVENUE, SUITE 100, DES MOINES, IA 50316-2364
(515) 263-2400
(515) 263-2540
Mailing address
1301 PENN AVE, SUITE 100, DES MOINES, IA 50316-2350
(515) 263-2400
(515) 263-2540
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
03037
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1240796
—
IA
05
—
1780666594
—
IA
Enumeration date
11/17/2005
Last updated
08/09/2012
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