Individual
JEFFREY ALAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2351 HUDSON ROAD, SUITE 001, CEDAR FALLS, IA 50614-0001
(319) 273-5275
(319) 273-5295
Mailing address
PO BOX 2758, 4150 KIMBALL AVENUE, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 235-5607
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3304
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215665
—
IA
01
—
19423
WELLMARK INS PLAN
IA
01
—
421417307E4
JOHN DEERE HEALTH INS
IA
Enumeration date
05/19/2006
Last updated
02/04/2022
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