Individual
RICHARD LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
816 9TH ST S, GREAT FALLS, MT 59405-2136
(406) 452-8428
(406) 452-8741
Mailing address
816 9TH ST S, GREAT FALLS, MT 59405-2136
(406) 452-8428
(406) 452-8741
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO00675
MT
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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